A nurse is teaching about medications to a group of clients. Which of the following statements by a client indicates a need for further teaching?
"I will take morphine during sickle cell crisis."
"I will take propranolol to manage high blood pressure."
"I will take aspirin to reduce pain from my peptic ulcer.
"I will take ibuprofen for arthritis."
The Correct Answer is C
A. "I will take morphine during sickle cell crisis." – Morphine is commonly used for managing severe pain during a sickle cell crisis.
B. "I will take propranolol to manage high blood pressure." – Propranolol is a beta-blocker used to treat hypertension, along with other conditions like anxiety and arrhythmias.
C. "I will take aspirin to reduce pain from my peptic ulcer." – Needs further teaching. Aspirin is an NSAID that can irritate the gastric mucosa, increase acid secretion, and worsen or cause peptic ulcers. It should not be taken by clients with a history of peptic ulcer disease unless specifically directed by a provider.
D. "I will take ibuprofen for arthritis." – Ibuprofen, a nonsteroidal anti-inflammatory drug (NSAID), is commonly used to reduce pain and inflammation in arthritis. However, long-term use should be monitored due to potential GI and renal effects.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Elevate the head of the bed. – While elevating the head of the bed can aid breathing, it is not the priority action in this situation.
B. Call the client's provider. – Notifying the provider is important, but the first action is to stop the offending agent causing the reaction.
C. Auscultate the client's breath sounds. – Assessing breath sounds is appropriate but should be done after stopping the infusion, as the priority is to remove the source of the reaction.
D. Stop the infusion. – The client is showing signs of a possible anaphylactic reaction (itching, dizziness, shortness of breath). The priority action is to stop the infusion immediately to prevent further exposure to the allergen and worsening of symptoms.
Correct Answer is B
Explanation
A. Eczema (atopic dermatitis) is an inflammatory skin condition characterized by itching, redness, and dry patches. It does not involve the loss of melanocytes or result in depigmentation.
B. Vitiligo is an autoimmune condition in which melanocytes (pigment-producing cells) are destroyed, leading to well-defined patches of depigmented (white) skin.
C. Psoriasis is a chronic autoimmune condition marked by rapid skin cell turnover, causing red, scaly, and sometimes silvery plaques—pigmentation changes are not typical.
D. Rosacea is a chronic facial skin condition involving redness, visible blood vessels, and sometimes acne-like bumps. It does not cause depigmentation or loss of melanocytes.
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