A client who is taking aspirin for osteoarthritis reports heartburn and nausea to the practical nurse (PN). Which information is most important for the PN to reinforce with the client?
Eat 3 nutritionally balanced meals a day.
Report any dark, tarry stools.
Use topical heat to help relieve symptoms.
Do active exercises every day.
The Correct Answer is B
A. Eat 3 nutritionally balanced meals a day:
Good general health advice but does not address aspirin complication risk.
B. Report any dark, tarry stools:
Indicates GI bleeding, a serious aspirin adverse effect.
C. Use topical heat to help relieve symptoms:
May help joint pain but unrelated to current GI complaint.
D. Do active exercises every day:
Important for OA but not the priority given bleeding risk signs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Hypothyroidism: Not directly caused by OSA; unrelated endocrine disorder.
B. Peptic ulcer disease: No established causal link with OSA.
C. Hypertension: Repeated hypoxia and arousals during sleep increase sympathetic activity, raising blood pressure and risk for hypertension.
D. Fibromyalgia: Not a direct complication of OSA, although poor sleep can exacerbate pain.
Correct Answer is A
Explanation
A. Notify the nursing supervisor of the appearance of the emesis:
Coffee-ground emesis indicates upper GI bleeding; requires prompt reporting for evaluation and intervention.
B. Advise the client to report any further vomiting to the PN:
Appropriate for minor issues, but not for potentially serious GI bleed.
C. Determine if the client has a PRN prescription for an antiemetic:
Masking symptoms with antiemetics without addressing cause can delay diagnosis.
D. Assign an unlicensed assistive personnel to provide mouth care:
Comfort measure, but secondary to urgent assessment and provider notification.
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