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- Why should a patient with a chronic arthritic condition be strongly encouraged to comply with the treatment plan and keep all follow-up appointments?Which of the following nursing interventions is appropriate for a patient with impaired mobility? a) Encouraging the patient to remain in bed at all times b) Assisting with range-of-motion exercises c) Restraining the patient to prevent falls d) Administering sedatives to keep the patient calmA nurse is caring for a patient who has crippling rheumatoidarthritis. Which nursing intervention best represents the useof integrative care?a. The nurse administers Naproxen (Aleve) and uses guidedimagery to take the patient’s mind off the pain.b. The nurse prepares the patient’s physician-approved herbaltea and uses meditation to relax the patient prior to bed.c. The nurse administers Naproxen (Aleve) and performsprescribed range-of-motion exercises.d. The nurse arranges for acupuncture for the patient anddesigns a menu high in Omega-3 fatty acids.
- A patient with a history of rheumatoid arthritis is prescribed prednisone for an acute episode of pain. Upon a follow up exam, the patient asks the nurse, "Why can't I stay on this medication forever? It helps the pain so much". What is the best response by the nurse? A. "The medication can cause an Addisonian crisis". B. "The medication has long-term side effects such as osteoporosis". C. "There are other medications that can be prescribed for the pain". D. "The medication will cause you to develop a buffalo hump or moon face".1). Due to the client’s diagnosis of low back pain, cyclobenzaprine is prescribed. Which instructionsshould the nurse teach the client? Select all that applyA. Take the medication just before leaving home for work each day.B. Drink a full glass of water with each dose of medication.C. The medication can cause drowsiness that will make driving unsafe.D. Divide the dose of medication between early morning and bedtime.E. Encourage the client to change positions slowly. 2).The nurse working in the postanesthesia care unit (PACU) recovering a male client after anexploratory laparotomy administers the prescribed hydromorphone intravenously. Five minuteslater the nurse assess the client’s respirations at 8 breaths per minute. Which interventionshould the nurse implement first?A. Ask the anesthesiologist to come and assess the client.B. Administer naloxone intravenously.C. Re-assess the client’s respiratory status in 20 minutes.D. Use an ambu bag and ventilate the client. 3).An adolescent…List out the major interventions (treatment practices and nursing initiatives) that should be made/applied to the patient who has had facial trauma and mandible fracture in the emergency department?
- 3. Tom is ready to be discharged from the medical-surgical unit after 5 days of hospitalization. Which client statement indicates to the nurse that Tom understands the discharge teaching about cellular injury? A. "I do not have to see my doctor unless I have problems." B. "I can stop taking my antibiotics once I am feeling better." C. "If I have redness, drainage, or fever, I should call my healthcare provider." D. "I can return to my normal activities as soon as I go home.A nurse is explaining pain control methods to a patientundergoing a bowel resection. The patient is interested in thePCA pump and asks the nurse to explain how it works. Whatwould be the nurse’s correct response?a. “The pump allows the patient to be completely free of painduring the postoperative period.”b. “The pump allows the patient to take unlimited amounts ofmedication as needed.” c. “The pump allows the patient to choose the type of medi-cation given postoperatively.” d. “The pump allows the patient to self-administer limiteddoses of pain medication.”A nurse is caring for a patient who has recently undergone surgery for a hip replacement. The patient is experiencing pain and is prescribed pain medication. The nurse administers the medication as ordered. After 30 minutes, the patient reports no relief from pain. What action should the nurse take?A) Administer another dose of the pain medication.B) Wait for another 30 minutes and reassess the patient's pain.C) Consult with the healthcare provider for further instructions.D) Suggest alternative non-pharmacological pain relief methods.
- The new graduate nurse would question the order for laxative administration in which of the following clients? (Select all that apply.) A )65-year-old male with ulcerative colitis who is having a hip replacement. B)24-year-old female with a distended abdomen who has not passed stool for three days and has just arrived at the emergency department. C)40-year-old female who uses opioids for chronic pain.A D)An 18-year-old female trying to lose five more pounds for a beauty pageant. E)A 50-year-old male with chronic hemorrhoids who is having orthoscopic surgery.1) The nurse has administered an opioid analgesic to a client. Which interventions should the nurse implement? Select all that applyA. Discuss with the physician starting the client on a stool softener.B. Teach the client about rating the pain on a numeric pain scale.C. Inform the client to rise quickly from a supine position.D. Tell the client to call for assistance when getting out of bed. 2). Mrs. Lee has been taking ibuprofen for the last 2 months. She has noticed both her knees are occasionally red and warm when she touches them. She has observed that besides her knee pain, the joints in her hands have been red with some swelling. The physician diagnoses Mrs. Lee with rheumatoid arthritis and gout. He starts her on allopurinol 100mg PO every day and celecoxib 100mg PO BID for pain. In teaching Mrs. Lee about her new medication regimen: You describe to Mrs. Lee how allopurinol will help in the management of her joint pain. What is your best explanation?A. “Allopurinol reduces the…A visiting nurse is performing a family assessment of ayoung couple caring for their newborn who was diagnosedwith cerebral palsy. The nurse notes that the mother’s hairand clothing are unkempt, the house is untidy, and themother states that she is “so busy with the baby that I don’thave time to do anything else.” What would be the priorityintervention for this family?a. Arrange to have the infant removed from the home.b. Inform other members of the family of the situation. c. Increase the number of visits by the visiting nurse.d. Notify the care provider and recommend respite care forthe mother.