A nurse is caring for a female client with rheumatoid arthritis, the client asks the nurse if it is safe to take aspirin. The nurse should recognize which of the following contraindications is of most concern?.

Reports of inflammation in the joints.

Joint pain that is not relieved with rest.

Report of recent headache.

Report of bloody stools.

Answer and Explanation

The Correct Answer is D

Choice A rationale:
While inflammation in the joints is a symptom of rheumatoid arthritis, it is not a contraindication for taking aspirin.
Choice B rationale:
Joint pain that is not relieved with rest is a common symptom of rheumatoid arthritis, but it is not a contraindication for taking aspirin.
Choice C rationale:
A recent headache is not a contraindication for taking aspirin. In fact, aspirin is often used to relieve headaches.
Choice D rationale:
Bloody stools can be a sign of gastrointestinal bleeding, which can be exacerbated by aspirin use due to its blood-thinning properties.

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Correct Answer is D

Explanation

Choice A rationale:
Elevating the legs can help reduce swelling, but placing pillows under the knees can potentially increase knee stiffness, which is not beneficial for osteoarthritis.
Choice B rationale:
While ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can help reduce pain and inflammation in osteoarthritis, it is not necessarily the first step in medication therapy. This can vary based on the individual’s condition and doctor’s recommendation.
Choice C rationale:
Physical activity is actually beneficial for osteoarthritis as it strengthens the muscles around the joints and improves joint flexibility. Limiting physical activity may lead to joint stiffness.
Choice D rationale:
Using heat or ice can help relieve discomfort caused by osteoarthritis. Heat can relax muscles and help lubricate the joint, and ice can help reduce joint swelling.

A. A high sugar and low fat diet. B. A low protein and high fat diet. C. A high protein and low fat diet. D. A high carbohydrate diet.

Correct Answer is C

Explanation

Choice A rationale:
A high sugar and low fat diet is not recommended for cholecystitis. High sugar diets can lead to obesity, which is a risk factor for gallstones. Low fat is correct, as fat can stimulate the gallbladder to contract, potentially causing pain.
Choice B rationale:
A low protein and high fat diet is not recommended. Protein is needed for healing and high fat can exacerbate symptoms.
Choice C rationale:
A high protein and low fat diet is generally recommended. Protein is needed for healing and low fat is recommended to prevent gallbladder contraction.
Choice D rationale:
A high carbohydrate diet is not specifically beneficial or harmful for cholecystitis. It’s the type of carbohydrate that matters - whole grains are beneficial, while refined carbs are not.

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A nurse is caring for a female client with rheumatoid arthritis, the client asks the nurse if it is safe to take aspirin. The nurse should recognize which of the following contraindications is of most concern?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a medical clinic is providing teaching to an older adult client who has osteoarthritis that is affecting her knees. Which of the following client statements indicates an understanding of the teaching?.

Correct Answer is D

Explanation

A nurse is preparing dietary instructions for a client who has cholecystitis from chronic cholelithiasis. Which diet is most important to include in the patient teaching?.

Correct Answer is C

Explanation

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