A quality control nurse is reviewing medication prescriptions for a group of clients.

Which of the following medication prescriptions should the nurse identify as being complete?

The correct answer is choice A: “We can review some information to help you select a safe alternative practitioner.” This statement shows respect for the client’s interest in alternative therapies and offers guidance on how to choose a reliable and qualified provider. Alternative therapies can provide some benefits for people with rheumatoid arthritis, such as reducing pain, inflammation, and stiffness, but they should be used as a complement to conventional treatments and not as a substitute.

Choice B is wrong because it implies that the client has no role in deciding their own treatment plan and that alternative therapies are not worth considering.

This may discourage the client from sharing their preferences and concerns with the provider.

Choice C is wrong because it suggests that online support groups are a reliable source of information about alternative remedies, which may not be true.

Online sources may contain inaccurate, misleading, or harmful information that could jeopardize the client’s health and safety.

Choice D is wrong because it encourages the client to try any therapy that fits their personal belief system, without considering the evidence, effectiveness, or potential risks of such therapies. Some alternative therapies may interact with medications, cause side effects, or worsen the condition.

Normal ranges for rheumatoid arthritis are not applicable in this question, as it is not asking about laboratory values or disease activity measures. However, some common tests used to diagnose and monitor rheumatoid arthritis include erythrocyte sedimentation rate (ESR), Creactive protein (CRP), rheumatoid factor (RF), anti-cyclic citrullinated peptide (anti-CCP) antibodies, and joint ultrasound or X-ray.

The normal ranges for these tests may vary depending on the laboratory and the method used.

Choice A reason:

"You might experience altered taste sensations" is the correct statement. When providing teaching to a client about to undergo external radiation therapy for cancer, the nurse should include information about potential side effects and what to expect during the treatment. One common side effect of radiation therapy, especially when the treatment is focused on or near the head and neck region, is altered taste sensations. Radiation can affect the taste buds and lead to changes in how foods taste.

Choice B reason:

"Use rubbing alcohol to remove the ink markings. “The statement is incorrect. The ink markings made on the client's skin are used as reference points for the radiation therapy treatment. It is essential not to remove these markings, as they are crucial for accurate positioning during each treatment session. The nurse should instruct the client not to tamper with the markings, and the radiation therapy team will remove them when they are no longer needed.

Choice C reason:

"Wear a binder over the radiation site." The statement is incorrect. Wearing a binder over the radiation site is not a standard practice during external radiation therapy. The client should be instructed to follow the specific guidelines provided by the radiation therapy team regarding clothing and positioning during treatments. The use of binders or other tight clothing over the treatment area may not be recommended, as it can cause discomfort or interfere with the delivery of radiation.

Choice D reason

"Wash your skin thoroughly with a washcloth after each treatment." Is incorrect statement. During radiation therapy, the skin in the treatment area can become sensitive. It is essential for the client to follow the specific instructions provided by the radiation therapy team regarding skin care. Generally, the client should avoid using harsh soaps or scrubbing the skin vigorously. Instead, they should gently cleanse the area with a mild soap or as directed by their healthcare providers.