A nurse is providing teaching to a client who has chronic pain related to osteoarthritis. Which of the following instructions should the nurse include?

"Use moist heating pads on your joints."

Place a large pillow under your head."

"Do not perform muscle strengthening exercises."

"Position a heavy bag of ice over your joints."

Answer and Explanation

The Correct Answer is A

A. "Use moist heating pads on your joints." Moist heat can help relieve pain and stiffness in joints affected by osteoarthritis. It promotes blood flow and relaxation of muscles around the joint.
B. "Place a large pillow under your head." While proper head support is important for comfort, a large pillow might not be the best option as it can cause neck strain and is not specifically related to managing osteoarthritis pain.
C. "Do not perform muscle strengthening exercises." Muscle strengthening exercises are actually recommended for managing osteoarthritis as they help support and stabilize joints, reducing pain and improving function.
D. "Position a heavy bag of ice over your joints." While cold therapy can be useful for acute pain or inflammation, a heavy bag of ice can cause discomfort and potential tissue damage. Cold packs or ice bags used for short periods are more appropriate.

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Correct Answer is A

Explanation

A. Ativan 1 mg IV given at 1030 following OR call. This is correct. The entry is clear and includes the medication name, dose, route, and time of administration.
B. Acetaminophen 500 mg given for pain. The entry does not specify the route of administration or the time it was given.
C. MgSO4 infusing via IV pump: This is incorrect. Abbreviations like "MgSO4" can be confusing or misinterpreted. It should be written as "magnesium sulfate."
D. Insulin 5U administered SQ: This is incorrect. The entry uses the abbreviation "U" for units, which can be misinterpreted. It should be written as "units" and specify the exact time and site of administration.

A. Delegating client care tasks to an assistive personnel B. Completing an incident report for a medication error C. Adhering to the client's refusal of treatment D. Completing required continuing education courses

Correct Answer is C

Explanation

A. Delegating client care tasks to an assistive personnel Delegation is part of nursing management, not specifically advocacy.
B. Completing an incident report for a medication error This is part of ensuring safety and quality but is not directly related to advocacy.
C. Adhering to the client's refusal of treatment Advocacy involves respecting the client's rights and choices, including the right to refuse treatment.
D. Completing required continuing education courses This is related to professional development, not specifically client advocacy.

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A nurse is providing teaching to a client who has chronic pain related to osteoarthritis. Which of the following instructions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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