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 D

Explanation

A. Block the coworker's access to social media on hospital computers. Blocking access to social media on hospital computers may prevent future posts but does not address the immediate HIPAA violation or educate the coworker about proper conduct.
B. Refer the coworker to the hospital ethics committee. This may be a subsequent step if the violation is severe, but it does not provide an immediate response to the HIPAA breach.
C. Tell the coworker to delete the social media post. While this might remove the current violation, it does not follow the proper protocol for reporting HIPAA breaches and does not ensure accountability or prevent future incidents.
D. Report the coworker's post to the nurse manager or supervisor. This is the correct action. Reporting to the nurse manager or supervisor ensures that the incident is documented, investigated, and handled according to the hospital’s policies and HIPAA regulations.

A. Ativan 1 mg IV given at 1030 following OR call B. Acetaminophen 500 mg given for pain C. MgSO4 infusing via IV pump D. Insulin 5U administered SQ

Correct Answer is A

Explanation

A. Ativan 1 mg IV given at 1030 following OR call. This is correct. The entry is clear and includes the medication name, dose, route, and time of administration.
B. Acetaminophen 500 mg given for pain. The entry does not specify the route of administration or the time it was given.
C. MgSO4 infusing via IV pump: This is incorrect. Abbreviations like "MgSO4" can be confusing or misinterpreted. It should be written as "magnesium sulfate."
D. Insulin 5U administered SQ: This is incorrect. The entry uses the abbreviation "U" for units, which can be misinterpreted. It should be written as "units" and specify the exact time and site of administration.

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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

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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