A client with chronic lower back pain has been taking ibuprofen PO twice a day for several months. Which assessment is most important for the nurse to complete?

Determine presence of abdominal pain.

Palpate volume of pedal pulses.

Assess back pain using numeric scale.

Evaluate ongoing sleep patterns.

Answer and Explanation

The Correct Answer is A

A. Determine presence of abdominal pain: Chronic use of ibuprofen, a nonsteroidal anti-inflammatory drug (NSAID), can lead to gastrointestinal issues such as ulcers or bleeding. Abdominal pain is a critical symptom that can indicate these serious side effects. Therefore, assessing for abdominal pain is the most important action to identify potential adverse effects related to prolonged NSAID use.
B. Palpate volume of pedal pulses: While assessing pedal pulses is important for evaluating circulation and potential peripheral vascular issues, it is not the primary concern related to the long-term use of ibuprofen. This assessment does not directly address the potential gastrointestinal complications of NSAID use.
C. Assess back pain using numeric scale: Although it is important to monitor the effectiveness of ibuprofen in managing back pain, this assessment does not address the potential side effects of prolonged use. Evaluating pain levels is useful for treatment efficacy but is secondary to monitoring for adverse effects.
D. Evaluate ongoing sleep patterns: While sleep patterns can be affected by pain or medication, they are not the most immediate concern regarding the side effects of long-term ibuprofen use. The potential gastrointestinal issues related to NSAID use take precedence.

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Correct Answer is C

Explanation

A) Takes concurrent iron therapy without adverse effects: While taking concurrent iron therapy without adverse effects is beneficial, it does not directly indicate the effectiveness of epoetin alfa. Epoetin alfa stimulates erythropoiesis, and its effectiveness is best measured by improvements in hemoglobin levels, not just the tolerance of iron supplementation.
B) Reports of increased energy levels and decreased fatigue: Reports of increased energy levels and decreased fatigue are positive signs but are subjective and not specific indicators of epoetin alfa's effectiveness. The most reliable measure of the medication's impact is the objective increase in hemoglobin levels.
C) Hemoglobin level increased to 12 g/dL (7.45 mmol/L): An increase in hemoglobin level to 12 g/dL is a direct and objective indicator that epoetin alfa is effective. This medication is designed to raise hemoglobin levels, so seeing a rise to within the reference range signifies that the treatment is working as intended.
D) Food diary shows increased consumption of iron-rich foods: Increased consumption of iron-rich foods is beneficial for supporting erythropoiesis but does not directly measure the effectiveness of epoetin alfa. The primary measure of the medication's success is the increase in hemoglobin levels, rather than dietary changes alone

A. Pupillary constriction. B. Refraction. C. Eye convergence. D. Accommodation.

Correct Answer is A

Explanation

A. Pupillary constriction: Mydriatic eye drops are designed to dilate the pupils, which means they inhibit pupillary constriction. During the therapeutic period after administration, the pupil remains dilated and does not constrict in response to light or other stimuli.
B. Refraction: Refraction, the bending of light as it passes through the eye's lens and cornea, is not directly affected by mydriatic eye drops. The process of focusing light onto the retina is still functional even when the pupils are dilated.
C. Eye convergence: Eye convergence, the inward movement of both eyes toward each other to focus on a close object, remains functional during mydriasis. Mydriatic drops do not typically impair this ability.
D. Accommodation: Accommodation, the eye's ability to change the focus from distant to near objects, is affected by mydriatic drops. These medications paralyze the ciliary muscles responsible for accommodation, making it difficult to focus on near objects during the period of dilation.

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A client with chronic lower back pain has been taking ibuprofen PO twice a day for several months. Which assessment is most important for the nurse to complete?

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Naxlex Comprehensive Predictor Exams

A client with anemia secondary to chronic kidney disease (CKD) started a prescription for epoetin alfa two months ago. Which client finding best indicates that the medication is effective? Reference Range: Hemoglobin (Hgb) [14 to 18 g/dL (8.7 to 11.2 mmol/L)]

Correct Answer is C

Explanation

The nurse is assessing the eyes of a client who just received mydriatic eye drops. Which physiological function of the eye will not respond during the therapeutic period after administration of the eye drops?

Correct Answer is A

Explanation

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