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A client has been treated for low back pain which radiates down the posterior right leg. The client now has a new onset of urinary and bowel incontinence and weakness in both lower extremities. What is the nurse's first action?

Obtain a walker for ambulation

Apply a diaper

Insert a Foley catheter

Notify the physician

Answer and Explanation

The Correct Answer is D

A. Obtaining a walker does not address the acute neurological symptoms.

B. Applying a diaper addresses the incontinence but not the underlying cause.

C. Inserting a Foley catheter manages urinary incontinence but delays necessary evaluation.

D. Notifying the physician is critical as these symptoms suggest cauda equina syndrome, a surgical emergency.

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Correct Answer is A

Explanation

A. Isoniazid, a medication used to treat tuberculosis, can trigger or worsen systemic lupus erythematosus (SLE) symptoms in some individuals. This is a known side effect, and the nurse should question its use in a client with a history of lupus.

B. Furosemide is a diuretic that can cause electrolyte imbalances but is not typically associated with triggering lupus symptoms.

C. Warfarin is an anticoagulant, and while it interacts with many drugs, it is not specifically associated with exacerbating lupus symptoms.

D. Levofloxacin is an antibiotic and is generally safe for individuals with lupus unless there are specific contraindications, but it is not known to trigger lupus flare-ups.

A. Take this medication in the morning before eating B. Tingling around the mouth and nose are expected C. Avoid lying down for 30 minutes after taking this medication D. Drink an 8 oz. glass of water with each tablet E. Chew tablets to increase bioavailability

Correct Answer is ["A","C","D"]

Explanation

A. Alendronate should be taken in the morning on an empty stomach to ensure proper absorption.

B. Tingling around the mouth and nose is not a typical or expected side effect of alendronate.

C. Lying down after taking alendronate can cause esophageal irritation, so the client should remain upright for at least 30 minutes.

D. Drinking water helps with swallowing and ensures the medication reaches the stomach.

E. Chewing alendronate tablets is contraindicated, as it can increase the risk of esophageal irritation.

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A client has been treated for low back pain which radiates down the posterior right leg. The client now has a new onset of urinary and bowel incontinence and weakness in both lower extremities. What is the nurse's first action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with systemic lupus erythematosis has a history of tuberculosis exposure that has been treated. Which medication should the nurse question as possible cause for the lupus symptoms?

Correct Answer is A

Explanation

A nurse is teaching a client who has osteoporosis and a new prescription for the biphosphonate alendronate. Which of the following instructions should the nurse provide? (SELECT ALL THAT APPLY)

Correct Answer is ["A","C","D"]

Explanation

A client with arthritis is prescribed ibuprofen 800 mg PO TID for pain reduction in the knee. The nurse should instruct the client to report which of the following side effects to the physician? (SELECT ALL THAT APPLY)

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Which of these deformities is associated with osteoarthritis? (SELECT ALL THAT APPLY).

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Post total joint replacement, the patient needs for the joint to heal prior to sexual activity. What position is best for the patient after a total joint replacement of the hip?

Which statement made by the client to the nurse indicates a precipitating factor associated with pain?

The nurse caring for a patient who has severe osteoporosis. On inspection, the patient has severe kyphosis of the upper back. Which nursing problem takes priority for this patient's care?