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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 B

Explanation

A. Increased incisional drainage is not a typical sign of dislocation.

B. A painful, abnormally rotated leg is a classic sign of hip dislocation.

C. Reddened incision may indicate infection but not dislocation.

D. Sudden shortness of breath could indicate a pulmonary embolism, not hip dislocation.

A. Compare these findings with preoperative assessment findings. B. Document the finding and continue to monitor status. C. Draw blood for serum calcium. D. Tell the client that this is a normal finding and should go away with time.

Correct Answer is A

Explanation

A. The first priority is to assess whether the numbness and tingling in the left leg are new or a preexisting symptom. This helps identify if there are complications like nerve injury or issues with the surgical site.

B. While documenting the findings is important, it’s more critical to compare these new symptoms with preoperative findings to identify potential complications.

C. Drawing blood for serum calcium is not directly relevant to the immediate issue of nerve symptoms after a laminectomy.

D. Telling the client that the symptoms are normal could lead to delayed intervention if there is a more serious issue, like nerve damage or surgical complications.

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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 who is 3 days post-operative following a total hip replacement returns from physical therapy and states, "Something is not right. I felt something 'pop' in my hip." What would cause the nurse to suspect that the client has dislocated the hip?

Correct Answer is B

Explanation

A nurse is assessing a client on the first post-operative day after a L3-4 laminectomy and diskectomy. The client now complains of numbness and tingling in the left leg. What is the nurse's first priority?

Correct Answer is A

Explanation

The nurse understands that the placement of a pillow under the knee of a client with a total knee replacement is contraindicated because it will:

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The nurse teaches a client that which factor might increase the risk of developing an exacerbation of systemic lupus erythematous (SLEP

A client with newly diagnosed rheumatoid arthritis asks the nurse what happens to the joint with this disease. Which explanation by the nurse is most accurate?

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)

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