A client has been taking aspirin 325 mg six to eight times a day for the past two weeks to control pain from a knee injury.
Which symptom reported by the client should the nurse report to the health care provider (HCP) for priority follow-up?
Tarry-colored stools.
Swelling of the leg and knee.
Right upper quadrant discomfort.
Bruising around the injured knee.
The Correct Answer is A
This is because aspirin can cause gastrointestinal bleeding, ulceration, and perforation as side effects. Tarry-colored stools indicate the presence of blood in the stool, which is a sign of bleeding in the upper gastrointestinal tract.
This is a serious condition that requires immediate medical attention.
Choice B. Swelling of the leg and knee is wrong because it is not related to aspirin use.
It may indicate inflammation, infection, or injury of the leg and knee, but it is not a priority symptom to report to the HCP.
Choice C. Right upper quadrant discomfort is wrong because it is not related to aspirin use.
It may indicate liver or gallbladder problems, but it is not a priority symptom to report to the HCP.
Choice D. Bruising around the injured knee is wrong because it is not related to aspirin use.
It may indicate trauma, bleeding disorders, or coagulation problems, but it is not a priority symptom to report to the HCP.
Normal ranges for bleeding time are 2 to 7 minutes. Normal ranges for PTT are 25 to 35 seconds. Normal ranges for liver enzymes are AST 10 to 40 U/L and ALT 7 to 56 U/L.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Interview the client privately and ask if anyone is harming her.
This is because the nurse has a duty to assess the client for possible elder abuse and report any suspicions to the appropriate authorities.
The nurse should not assume that the son is the abuser or that the client will disclose the abuse without being asked directly.
The nurse should also respect the client’s autonomy and privacy and not confront the son or provide an elder abuse brochure without the client’s consent.
Choice A is wrong because it may imply that the client is responsible for preventing the abuse or that the nurse has already made a judgment about the situation.
It may also be ineffective if the client is unable or unwilling to read the brochure or seek help. Choice C is wrong because it may delay the assessment and intervention for the client.
It may also be biased and unfair to observe the son without interviewing him or the client first.
Choice D is wrong because it may violate the client’s rights and preferences.
It may also be premature to report the abuse without confirming it with the client or obtaining more evidence.
Correct Answer is C
Explanation
This is because hepatitis C is a viral infection that spreads through contaminated blood and body fluids. IV drug use is one of the most common ways to get hepatitis C, especially if people share needles or other equipment.
Choice A is wrong because drinking contaminated water is not a risk factor for hepatitis
C. Hepatitis A and E are transmitted by the fecal-oral route, which can happen through contaminated water.
Choice B is wrong because eating raw chicken is not a risk factor for hepatitis C. Hepatitis E can be transmitted by eating undercooked meat from infected animals, but not chicken.
Choice D is wrong because unprotected intercourse is not a major risk factor for hepatitis
C. Hepatitis B and D are more likely to be transmitted by sexual contact than hepatitis
C. However, having multiple sexual partners or having sexually transmitted diseases can increase the risk of hepatitis
C. Normal ranges for hepatitis C tests depend on the type of test and the laboratory that performs it.
Some common tests are:
- Anti-HCV antibody test: This test detects antibodies to the hepatitis C virus in the blood.
A positive result means that the person has been exposed to the virus, but does not necessarily mean that they have an active infection. A negative result means that the person has never been exposed to the virus or has cleared it from their body.
- HCV RNA test: This test measures the amount of hepatitis C virus in the blood.
A positive result means that the person has an active infection and can transmit the virus to others. A negative result means that the person does not have an active infection or has cleared it from their body.
- HCV genotype test: This test identifies the strain or type of hepatitis C virus that the person has. There are six major genotypes of hepatitis C, numbered 1 to 6, and each one may respond differently to treatment.
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