A nurse is teaching a client who is perimenopausal and has recurrent lower back pain. Which of the following client statements indicates an understanding of the teaching?

I can wear heels up to 2 inches in height.

I should sleep lying flat with my legs extended straight.

I should keep my weight within 10 percent of my ideal weight.

I should increase high potassium foods in my diet.

Answer and Explanation

The Correct Answer is C

Choice A reason: Wearing heels up to 2 inches in height can contribute to lower back pain by altering posture and increasing the strain on the lower back muscles. It is generally recommended to wear low-heeled or flat shoes to reduce the risk of exacerbating back pain.

Choice B reason: Sleeping lying flat with legs extended straight is not the best position for someone with lower back pain. It is often recommended to sleep on the side with knees slightly bent or on the back with a pillow under the knees to maintain the natural curve of the spine and reduce strain.

Choice C reason: Keeping weight within 10 percent of ideal weight is important for managing lower back pain. Excess weight, especially around the abdomen, can put additional strain on the lower back muscles and spine, exacerbating pain. Maintaining a healthy weight through diet and exercise can help alleviate back pain.

Choice D reason: Increasing high potassium foods in the diet is beneficial for overall health but is not specifically related to managing lower back pain. Potassium helps with muscle function and can prevent cramps, but it does not directly address the causes of lower back pain.

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Correct Answer is {"A":{"answers":"A,C"},"B":{"answers":"A,B,C"},"C":{"answers":"A,B,C"},"D":{"answers":"A,C"},"E":{"answers":"A"}}

Explanation

Joint Pain

Sickle Cell Disease: Joint pain is a common symptom of sickle cell disease due to vaso-occlusive crises, where sickle- shaped red blood cells block blood flow to the joints, causing pain and inflammation. These episodes can be severe and recurrent, leading to chronic pain and joint damage over time.

Leukemia: Joint pain can also be a symptom of leukemia, particularly in children. This occurs because leukemia cells can infiltrate the bone marrow, causing bone and joint pain. The pain is often due to the expansion of the marrow cavity by the leukemic cells.

Heart Rate at 1000

Sickle Cell Disease: An increased heart rate (tachycardia) can occur in sickle cell disease due to anemia. The body compensates for the reduced oxygen-carrying capacity of the blood by increasing the heart rate.

Iron Deficiency Anemia: Tachycardia is also a common symptom of iron deficiency anemia. The heart works harder to pump more blood to deliver adequate oxygen to tissues, resulting in an increased heart rate.

Leukemia: In leukemia, anemia can develop due to the replacement of normal bone marrow cells with leukemic cells, leading to a reduced number of red blood cells and subsequent tachycardia as the body attempts to compensate.

Respiratory Status

Sickle Cell Disease: Dyspnea (difficulty breathing) and labored breathing can occur in sickle cell disease due to anemia and acute chest syndrome, a severe complication where sickle cells block blood flow in the lungs.

Iron Deficiency Anemia: Respiratory symptoms such as shortness of breath and labored breathing are common in iron deficiency anemia due to the reduced oxygen-carrying capacity of the blood.

Leukemia: Leukemia can cause respiratory symptoms due to anemia and the infiltration of leukemic cells into the lungs, leading to reduced oxygenation and labored breathing.

Jaundice

Sickle Cell Disease: Jaundice is a common symptom of sickle cell disease due to the increased breakdown of red blood cells (hemolysis), leading to elevated bilirubin levels.

Leukemia: Jaundice can also occur in leukemia if the liver is infiltrated by leukemic cells or if there is significant hemolysis.

Ankle Ulcer

Sickle Cell Disease: Ankle ulcers are a common complication of sickle cell disease. They result from poor blood flow and oxygen delivery to the skin, leading to chronic, non-healing ulcers.

Correct Answer is ["3"]

Explanation

Step 1: Determine the total daily dose of lansoprazole.

Total daily dose = 30 mg

Step 2: Determine the amount of lansoprazole available per tablet.

Each tablet = 10 mg

Step 3: Calculate the number of tablets needed per dose.

Number of tablets per dose = 30 mg ÷ 10 mg
Number of tablets per dose = (30 ÷ 10)
Number of tablets per dose = 3

Step 4: Round the answer to the nearest whole number.

Rounded number of tablets per dose = 3 (no rounding needed) So, the nurse should administer 3 tablets per dose.

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A nurse is teaching a client who is perimenopausal and has recurrent lower back pain. Which of the following client statements indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is {"A":{"answers":"A,C"},"B":{"answers":"A,B,C"},"C":{"answers":"A,B,C"},"D":{"answers":"A,C"},"E":{"answers":"A"}}

Explanation

Heart Rate at 1000

Respiratory Status

Jaundice

Ankle Ulcer

A nurse is preparing to administer lansoprazole 30 mg PO daily to a client. The amount available is lansoprazole 10 mg per tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["3"]

Explanation

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