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 B
Explanation
A. Squeeze the handles of extinguisher. This is done after aiming at the base of the fire and pulling the pin.
B. Pull out the safety pin of the extinguisher. This is the first step to unlock the extinguisher for use.
C. Sweep extinguisher from side to side at the base of fire. This is done after aiming and squeezing the handles.
D. Aim the extinguisher at the base of fire. This is the second step, after pulling the pin.
Correct Answer is D
Explanation
A. Secure the cord with electrical tape under area rugs. This is incorrect. Securing the cord under rugs can create a fire hazard.
B. Plug the device into the outlet closest to the tub when bathing. This is incorrect and dangerous as water and electricity should never come into contact.
C. Grasp the cord to unplug the device. The correct method is to grasp the plug, not the cord, to avoid damaging the cord and causing a potential electrical hazard.
D. Tape the cord of the device against the baseboard with electrical tape. This is correct. Taping the cord to the baseboard can help prevent tripping hazards and keep the cord secure.
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