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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 A

Explanation

A. Refeeding syndrome occurs when a malnourished patient is given nutrition (such as TPN), leading to electrolyte imbalances (particularly low phosphorus, potassium, and magnesium) that can cause symptoms like muscle cramping, headache, and visual changes. This condition requires immediate correction of electrolyte imbalances and careful monitoring.

B. Sudden hyperglycemia can occur with TPN, but the symptoms described (muscle cramping, headache, and visual changes) are more consistent with refeeding syndrome.

C. An air embolus is a serious complication but is less likely to be the cause of these symptoms.

D. Acute panic attacks could cause some of the symptoms, but the patient's low BMI and history of anorexia nervosa make refeeding syndrome the more likely cause.

A. Use adductor pillow while in bed B. Limit hip flexion to 90 degrees C. Use fracture pan D. Avoid adduction E. Avoid Internal rotation

Correct Answer is ["A","B","D","E"]

Explanation

A. An adductor pillow helps maintain proper alignment and prevents the hip from crossing the midline (adduction).

B. Limiting hip flexion to 90 degrees prevents dislocation by avoiding positions that could stress the hip joint.

C. A fracture pan is not a necessary precaution for a total hip replacement; it is more relevant for clients with fractures.

D. Adduction should be avoided to prevent the hip from dislocating.

E. Internal rotation can cause the hip to dislocate, so it should be avoided.

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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)

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

The patient is post-op day 1 of a right total hip replacement. What precautions are necessary to prevent complications? (SELECT ALL THAT APPLY).

Correct Answer is ["A","B","D","E"]

Explanation

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