A nurse is providing teaching to a client who has osteoarthritis and reports taking a glucosamine supplement daily. Which of the following statements should the nurse make?

"You should limit medications containing aspirin while taking this supplement."

"Notify your provider if you develop tinnitus."

"You should increase your daily intake of protein while taking this supplement."

"Taking glucosamine can decrease blood glucose levels."

Answer and Explanation

The Correct Answer is D

A. "You should limit medications containing aspirin while taking this supplement.": There is no direct interaction between glucosamine and aspirin that requires limiting the use of aspirin. However, glucosamine and aspirin generally do not have a known interaction that would necessitate this precaution.

B. "Notify your provider if you develop tinnitus.": Tinnitus is not a known side effect of glucosamine. This statement would be more relevant for medications such as aspirin or other drugs known to cause tinnitus.

C. "You should increase your daily intake of protein while taking this supplement.": There is no specific requirement to increase protein intake when taking glucosamine. The focus should be on managing osteoarthritis symptoms and following general dietary recommendations rather than specifically increasing protein.

D. "Taking glucosamine can decrease blood glucose levels.": Some studies suggest that glucosamine might influence blood glucose levels, particularly in people with diabetes. This statement is relevant because it highlights the potential impact of glucosamine on glucose metabolism, which is important for clients managing diabetes or blood glucose levels.

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Correct Answer is D

Explanation

A) Reports intolerance to heat: Intolerance to heat is more commonly associated with conditions like hyperthyroidism rather than iron-deficiency anemia. Individuals with iron-deficiency anemia often experience fatigue and cold intolerance due to decreased oxygen-carrying capacity of the blood.

B) Develops bradycardia after eating: Bradycardia (slow heart rate) is not typically associated with iron-deficiency anemia. Anemia usually causes an increased heart rate (tachycardia) as the body tries to compensate for reduced oxygen delivery.

C) Has a friction rub on auscultation: A friction rub is a sound heard on auscultation associated with pericarditis, an inflammation of the pericardium, and is not a typical finding in iron-deficiency anemia. Anemia primarily affects the blood and does not usually cause inflammation of the heart lining.

D) Displays dyspnea while walking: Dyspnea, or shortness of breath, is a common symptom of iron-deficiency anemia, particularly with exertion. This occurs because the reduced hemoglobin levels result in decreased oxygen delivery to tissues, making physical activities more challenging and causing breathlessness.

A. "Limit sodium intake to 3,500 milligrams per day." B. "Take ibuprofen for discomfort." C. "Increase the distance you walk by 100 feet daily, even if you feel fatigued." D. "Include no more than 2,000 milliliters of fluid intake in 24 hours."

Correct Answer is D

Explanation

A) "Limit sodium intake to 3,500 milligrams per day.":
Limiting sodium intake is crucial for managing heart failure to prevent fluid retention and exacerbation of symptoms. However, the recommended limit is typically much lower, around 1,500 to 2,000 milligrams per day, not 3,500 milligrams.

B) "Take ibuprofen for discomfort.":
Ibuprofen and other NSAIDs are not recommended for clients with heart failure as they can cause fluid retention, worsen heart failure symptoms, and increase the risk of kidney problems. Alternatives such as acetaminophen are generally safer for pain relief.

C) "Increase the distance you walk by 100 feet daily, even if you feel fatigued.":
While regular exercise is important, clients with heart failure should not push through fatigue, as overexertion can lead to worsening symptoms. Exercise recommendations should be tailored to the individual's tolerance and should be adjusted based on their energy levels.

D) "Include no more than 2,000 milliliters of fluid intake in 24 hours.":
Restricting fluid intake to 2,000 milliliters per day helps prevent fluid overload, which is critical for managing heart failure. Monitoring and limiting fluid intake can help control symptoms such as edema and shortness of breath.

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A nurse is providing teaching to a client who has osteoarthritis and reports taking a glucosamine supplement daily. Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has iron-deficiency anemia. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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