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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The state's nurse practice acts:This is correct. State nurse practice acts provide legal guidelines and scope of practice for nurses within that state.
B. The American Nurses Association: While the ANA offers valuable resources and guidelines, it does not provide legal scope of practice specific to each state.
C. The facility's job descriptions :Facility job descriptions can outline specific roles and responsibilities but are not the legal source for scope of practice.
D. The Joint Commission's legal department: The Joint Commission sets accreditation standards but does not provide legal scope of practice guidelines for individual nurses.
Correct Answer is D
Explanation
A. "Let's focus on something positive and not discuss the fire today." This response is dismissive and invalidates the client's feelings and experiences.
B. "I think you should move in with your parents temporarily." This response is prescriptive and assumes that the nurse knows what is best for the client without understanding her specific needs and circumstances.
C. "I don't believe that you will experience long-term effects from this." This response minimizes the client's potential trauma and does not acknowledge the serious impact such an event can have.
D. "Tell me how I can best help you right now." This response is empathetic and client-centered, allowing the client to express her needs and feel supported.
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