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. "Ask the charge nurse if she will enter the vital signs for you." This option might be practical but does not address the issue of ensuring proper use of login credentials and adherence to privacy and security protocols.
B. "I'll give you my password to use on another computer, but only for those vital signs." Sharing passwords is a violation of security protocols and is not permissible. Each user must use their own credentials to ensure accountability and security.
C. "I can't let you use the computer on my login, but give me the vital signs and I'll enter them." This response is appropriate. It maintains security by not sharing passwords while still addressing the immediate need of entering the vital signs.
D. "Contact the information technology team and ask them to reset your password." While contacting IT for a password reset is a good practice, it doesn't solve the immediate problem of entering the vital signs. However, it is an important step for addressing long-term access issues.

A. Ask the client to describe his spiritual beliefs. B. Provide available resources on spiritual care for the client. C. Consult a dietitian to incorporate the client's religious preferences into a meal plan. D. Offer to contact the local leader of the client's religious group.

Correct Answer is A

Explanation

A. Ask the client to describe his spiritual beliefs. This is correct. Understanding the client’s spiritual beliefs is the first step in providing appropriate and individualized care.
B. Provide available resources on spiritual care for the client. Providing resources is helpful but should follow an understanding of the client’s specific needs and beliefs.
C. Consult a dietitian to incorporate the client's religious preferences into a meal plan. This is important for comprehensive care but is not the first step in addressing spiritual distress related to treatment conflicts.
D. Offer to contact the local leader of the client's religious group. Contacting a religious leader can be supportive, but the first step should be to understand the client’s specific spiritual beliefs and concerns.

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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

An assistive personnel cannot recall his password and asks a nurse if he can enter vital signs for a client while the nurse is logged into the client's electronic medical record. Which of the following responses should the nurse make?

Correct Answer is C

Explanation

A nurse is caring for a client who reports feeling spiritual distress because his prescribed treatment plan conflicts with his religion. Which of the following actions should the nurse take first?

Correct Answer is A

Explanation

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