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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)

Blood in stools

Peripheral edema

Heartburn

A cold

Thickened fingernails

Answer and Explanation

Correct Answer : A,B,C

A. Blood in stools: This could indicate gastrointestinal bleeding, a serious side effect of NSAIDs like ibuprofen.

B. Peripheral edema: NSAIDs can cause fluid retention and lead to peripheral edema.

C. Heartburn: Heartburn is a common side effect of NSAIDs due to their gastrointestinal irritation.

D. A cold: This is not related to NSAID use and is not a side effect.

E. Thickened fingernails: This is unrelated to ibuprofen use.

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Correct Answer is D

Explanation

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.

A. Propranolol 10 mg PO twice a day B. Morphine sulfate 10 mg IM q 4 hours prn pain C. Metoprolol 20 mg PO three times a day D. Cephalexin 500 mg PO q 4 hours

Correct Answer is C

Explanation

A. Propranolol 10 mg PO twice a day would not fit this schedule of three doses.

B. Morphine sulfate is ordered every 4 hours as needed, not on a fixed schedule.

C. Metoprolol is scheduled three times a day (1000, 1400, 1800), fitting the described schedule.

D. Cephalexin 500 mg q 4 hours does not match the schedule as it requires dosing every 4 hours, not at the specified times.

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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)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

The nurse is transcribing a medication order and schedules dosing for 1000, 1400 and 1800. Which medication order is consistent with this schedule?

Correct Answer is C

Explanation

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