A nurse is teaching an older adult client who has rheumatoid arthritis and reports fatigue. Which of the following instructions should the nurse include in the teaching?

"Take meperidine 30 minutes before aerobic activity."

"Take a 2-hour nap in the afternoon."

"Avoid exercising on days when you feel tired."

"Plan your daily schedule in advance."

Answer and Explanation

The Correct Answer is D

A. "Take meperidine 30 minutes before aerobic activity." Meperidine (Demerol) is not recommended for long-term use in older adults due to its side effects and potential for dependence. It is not an appropriate medication for managing rheumatoid arthritis or exercise-related pain.
B. "Take a 2-hour nap in the afternoon." While short naps can be beneficial, a 2-hour nap might interfere with nighttime sleep, exacerbating fatigue. Naps should be limited to 20-30 minutes.
C. "Avoid exercising on days when you feel tired." Regular, gentle exercise is beneficial for managing rheumatoid arthritis and fatigue. It helps maintain joint function and reduce stiffness. Avoiding exercise altogether can lead to increased stiffness and fatigue.
D. "Plan your daily schedule in advance." Planning activities in advance can help manage energy levels and avoid overexertion, which is crucial for managing fatigue in rheumatoid arthritis.

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Correct Answer is C

Explanation

A. Verapamil Verapamil is used as a preventive treatment for cluster headaches, not for aborting an acute attack.
B. Lithium Lithium is used for cluster headache prevention, not for immediate pain relief.
C. Sumatriptan Sumatriptan is effective in aborting acute cluster headache attacks.
D. Prednisone Prednisone can be used as a short-term preventive measure but is not typically used to abort an acute headache.

A. Flush the port with heparin prior to administering the medication. B. Inject the medication into the port closest to the client. C. Pinch the tubing below the injection port prior to administration. D. Administer the medication over 10 seconds.

Correct Answer is B

Explanation

A. Flush the port with heparin prior to administering the medication. Heparin is not typically used to flush the port before administering IV medications; saline is generally used for flushing.
B. Inject the medication into the port closest to the client. This ensures the medication is delivered quickly and effectively, minimizing dilution and maximizing its effect.
C. Pinch the tubing below the injection port prior to administration. Pinching the tubing can help ensure the medication goes into the client quickly but should be done only if specified by protocol.
D. Administer the medication over 10 seconds. Fentanyl should be administered slowly over 1-2 minutes to prevent rapid administration-related side effects like hypotension or respiratory depression.

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A nurse is teaching an older adult client who has rheumatoid arthritis and reports fatigue. Which of the following instructions should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is experiencing a cluster headache. The nurse should plan to administer which of the following medications to abort the headache and manage the client's pain?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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