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 ["A","C","D"]
Explanation
Rationale:
A) Loosening restrictive clothing prevents injury during the seizure.
B) Hyperextending the child's neck can cause injury and should be avoided. Instead, the neck should be supported to maintain an open airway.
C) Timing the seizure episode is important for documenting the duration and for providing accurate information to healthcare providers.
D) Placing the child in a side-lying position helps prevent aspiration and maintains an open airway during the seizure.
E) Restraint should not be applied during a seizure unless absolutely necessary to prevent injury to the child or others.
Correct Answer is D
Explanation
Rationale:
A) Maintaining clean technique during dressing changes is essential for preventing infection but is not specific to pain management.
B) Providing low-calorie snacks is unrelated to managing moderate partial-thickness burns.
C) Allowing the child to set their own schedule for wound care might not be appropriate or safe, as wound care should be performed according to healthcare provider recommendations.
D) Ensuring the child receives pain medication prior to therapy helps manage pain associated with dressing changes and other therapeutic interventions.
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