A nurse in a clinic is talking with a client who has a new diagnosis of osteoarthritis. The nurse should anticipate that the client will require teaching about which of the following medications?

Acetaminophen

Celecoxib

Ibuprofen

Cyclobenzaprine

Answer and Explanation

Correct Answer : A,B,C

Acetaminophen is commonly used for pain relief in osteoarthritis. It is recommended for clients who have mild to moderate pain. It does not reduce inflammation but can be effective in managing pain without the gastrointestinal side effects associated with NSAIDs.

Choice B reason:
Celecoxib is a nonsteroidal anti-inflammatory drug (NSAID) that is specifically a COX-2 inhibitor. It is used to reduce pain and inflammation in osteoarthritis. Celecoxib can be a good option for those who need an anti-inflammatory and may have a lower risk of gastrointestinal bleeding compared to other NSAIDs.

Choice C reason:
Ibuprofen, another NSAID, is effective in reducing the inflammation and pain associated with osteoarthritis. It is available over the counter and can be used for short-term pain management, but it should be used cautiously due to potential side effects, including gastrointestinal bleeding and cardiovascular risks.

Choice D reason:
Cyclobenzaprine is a muscle relaxant and is not typically used as a first-line treatment for osteoarthritis. It may be prescribed in cases where muscle spasms are present, but it does not directly address the joint pain or inflammation caused by osteoarthritis.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A reason:
Ecchymosis, or bruising, of the surrounding skin is a common finding associated with fractures due to the trauma to blood vessels in the area. While it can indicate bleeding or injury, ecchymosis itself does not specifically indicate impaired venous return.

Choice B reason:
Acute pain is a typical symptom following a fracture and results from the injury to the bone and surrounding tissues. Pain is an expected finding and does not directly suggest an issue with venous return.

Choice C reason:
A bounding distal pulse may actually suggest increased arterial flow or could be a sign of other conditions such as high blood pressure or fever. It does not indicate impaired venous return, which is typically characterized by a lack of pulse or a very weak pulse.

Choice D reason:
Increasing edema, or swelling, in the affected arm is a sign of impaired venous return. When veins are unable to effectively return blood to the heart, fluid can accumulate in the tissues, leading to edema. In the context of a fracture, this could be due to compression or damage to the veins, which can impede blood flow and result in swelling.

A. Blood in the urine or semen B. Anemia due to long-term bleeding C. A dark-colored or elevated lesion D. An enlarged liver or gallbladder

Correct Answer is A

Explanation

Choice A reason:
Blood in the urine (hematuria) or semen (hematospermia) can be a sign of advanced prostate cancer. This symptom occurs when the cancer affects the urinary or reproductive tracts, causing bleeding. It is a direct result of the tumor invading nearby tissues or structures.

Choice B reason:
While anemia can be associated with chronic diseases like cancer, it is not a direct manifestation of the advancing disease process of prostate cancer. Anemia in cancer patients is often multifactorial, including chronic inflammation, nutritional deficiencies, or treatment-related side effects.

Choice C reason:
A dark-colored or elevated lesion is not typically associated with prostate cancer. Such lesions are more commonly related to skin cancers or other dermatological conditions.

Choice D reason:

An enlarged liver or gallbladder can be a sign of metastasis in advanced cancer cases, including prostate cancer. However, it is less specific than blood in the urine or semen and can be caused by a variety of other conditions.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse in a clinic is talking with a client who has a new diagnosis of osteoarthritis. The nurse should anticipate that the client will require teaching about which of the following medications?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has a left lower arm fracture. Which of the following findings indicates impaired venous return in the client's affected arm?

Correct Answer is D

Explanation

The nurse is caring for a client who has prostate cancer. Which of the following manifestations does the nurse attribute to the advancing disease process?

Correct Answer is A

Explanation

A nurse is caring for a client who is receiving peritoneal dialysis. The nurse should monitor the client for which of the following manifestations of peritonitis?

A nurse is caring for a client who has just returned from the Post-Anesthesia Care Unit (PACU) with an intravenous (IV) fluid infusion and a nasogastric (NG) tube in place following abdominal surgery. Which of the following data is the priority for the nurse to assess?

A nurse is assessing a client following the application of a leg cast for the treatment of a fracture. If the cast is too tight, which of the following findings should the nurse expect to observe first?

A staff nurse is teaching a client who has Addison's disease about the disease process. The client asks the nurse what causes Addison's disease. Which of the following responses should the nurse make?

A nurse is providing care for an older adult client who has diabetes insipidus (DI). The nurse should monitor the client for which of the following neurological effects?

A nurse is assessing a client who has Paget's disease of the bone. Which of the following findings should the nurse expect? (Select all that apply.)

A nurse is caring for a client who has an unrepaired femur fracture of the midshaft. Which of the following techniques should the nurse use when performing an assessment of the client's neurovascular status?

A nurse is providing teaching about dietary supplements to a client who has erectile dysfunction and has been prescribed nitroglycerin. Which of the following statements is the most important for the nurse to include in the teaching?