A client with osteoarthritis tells the nurse that NSAIDs are no longer helping relieve moderate pain. What is the priority intervention?
Evaluate for potential need of stronger analgesics
Recommend herbal supplements
Provide education on joint protection
Recommend low-impact water exercises
The Correct Answer is A
A. Evaluate for potential need of stronger analgesics: When NSAIDs no longer provide adequate pain relief, the priority is reassessing pain management and considering alternative or stronger pharmacologic interventions, such as acetaminophen, opioid therapy, or adjuvant medications, to maintain comfort and function.
B. Recommend herbal supplements: Herbal or complementary therapies may provide some symptom relief but are secondary interventions. They are not sufficient for managing moderate to severe osteoarthritis pain.
C. Provide education on joint protection: Joint protection strategies are important for long-term management but do not address the immediate inadequacy of pain control. They are supportive, not priority interventions in acute symptom escalation.
D. Recommend low-impact water exercises: Exercise helps maintain mobility and reduce joint stress, but it does not immediately address uncontrolled pain. Ensuring adequate analgesia is necessary before engaging in activity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Peptic ulcer disease: PUD primarily presents with epigastric pain, dyspepsia, and sometimes gastrointestinal bleeding. It does not explain heart murmurs, nail abnormalities, or hematuria, making it unlikely in this scenario.
B. Pulmonary embolism: PE typically presents with sudden shortness of breath, chest pain, tachypnea, and sometimes hemoptysis. A heart murmur and nail changes are not characteristic of PE, so this is less likely.
C. Endocarditis: Infective endocarditis often presents with fever, tachycardia, heart murmur, hematuria, myalgias, and nail findings such as splinter hemorrhages. The combination of these systemic and cardiovascular findings strongly suggests endocarditis.
D. Heart failure: Heart failure manifests with dyspnea, edema, fatigue, and sometimes pulmonary congestion. Fever, hematuria, and nail abnormalities are not typical, making it less likely as the primary diagnosis in this case.
Correct Answer is A
Explanation
A. Orange juice: Citrus juices are highly acidic and can exacerbate gastroesophageal reflux by irritating the esophageal lining and relaxing the lower esophageal sphincter. Selecting acidic foods indicates a need for further dietary instruction.
B. Chicken: Lean protein like chicken is generally well-tolerated and does not trigger acid reflux. It is considered an appropriate food choice for patients with GERD.
C. Whole grains: High-fiber foods, such as whole grains, help improve digestion and reduce reflux episodes. Including whole grains aligns with recommended dietary management for GERD.
D. Low-fat milk: Low-fat dairy is less likely to provoke reflux than full-fat options. It provides calcium and protein while minimizing fat-induced relaxation of the lower esophageal sphincter.
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