A nurse in a provider's office is collecting data from an adolescent who has juvenile idiopathic arthritis and has been taking ibuprofen daily for the last 6 months. Which of the following client statements should the nurse report to the provider?
"I have morning stiffness in my joints."
"I have been taking a multivitamin that contains iron."
"I noticed some blood in my stool this morning."
"I skipped taking my ibuprofen last week after I went swimming."
The Correct Answer is C
Rationale:
A) Morning stiffness in the joints is a common symptom of juvenile idiopathic arthritis and is expected in this client population. It does not require immediate reporting to the provider.
B) Taking a multivitamin containing iron is generally not concerning and may even be beneficial for clients with arthritis who may have dietary deficiencies. It does not require immediate reporting to the provider.
C) The presence of blood in the stool may indicate gastrointestinal bleeding, a potential adverse effect of long-term ibuprofen use. This symptom should be reported to the provider promptly for further evaluation.
D) Skipping ibuprofen doses occasionally, particularly if the client missed one dose, may not be concerning unless it becomes a pattern of non-compliance. It does not require immediate reporting to the provider, although it should be addressed during routine follow-up.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Excessive juice does not cause constipation, but it can reduce the appetite for other foods.
B. A 15-month-old toddler needs about 500 milligrams of calcium per day to support bone growth and development. Calcium can be found in dairy products, fortified cereals, and leafy green vegetables.
C. Toddlers need approximately 1,000 to 1,300 calories per day to support their rapid growth and development. Therefore, 1500- 1800 calories per day is too much for a toddler.
D. While toddlers may experience changes in appetite, there is no specific age-related sudden increase at 18 months mentioned in nutritional guidelines.
Correct Answer is C
Explanation
Rationale:
A. While spinal fluid analysis may be necessary in some cases, it is not typically used to confirm a diagnosis of acute lymphoid leukemia (ALL).
B. A complete blood count (CBC) may show abnormalities suggestive of leukemia, but it is not definitive for diagnosis.
C. Bone marrow biopsy is necessary to confirm the diagnosis of acute lymphoid leukemia (ALL) by examining the bone marrow for abnormal cells.
D. Bleeding time is not typically used to diagnose acute lymphoid leukemia (ALL); it assesses platelet function.
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