Patient Data
A nurse in a provider's office is collecting data from a client who was discharged from the facility 7 days ago following treatment for a deep- vein thrombosis. Which of the following findings is the nurse's priority? (Click on the "Exhibit" button for additional Information about the client There are three tabs that contain separate categories of data.)
The client takes ibuprofen daily to treat musculoskeletal pain.
The client depends on friends for transportation to the clinic.
The client has difficulty applying their compression stockings
The client consumes 15 g of fiber daily
None
None
The Correct Answer is A
A: Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can increase the risk of bleeding, especially when taken regularly. Given that the client is on warfarin, a blood thinner used to prevent new clots from forming and existing clots from growing larger, the use of ibuprofen could interfere with its effectiveness and increase the risk of a bleeding event. This is a priority concern for a patient with a history of deep-vein thrombosis. B: While transportation is important for the client to receive care, it does not pose an immediate risk to the client's health compared to the potential interaction between ibuprofen and warfarin.
C: Difficulty with applying compression stockings can contribute to discomfort and noncompliance with treatment, which can impede recovery. However, this does not present an immediate risk as significant as the potential drug interaction.
D: Consuming 15 g of fiber daily is generally a positive health behavior and does not present a direct risk to the client's health in the context of deep-vein thrombosis and the current medications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Celiac disease is an autoimmune disorder characterized by intolerance to gluten, a protein found in wheat, barley, and rye. It is not directly related to excessive milk consumption.
B. Lactose intolerance is a condition in which the body is unable to digest lactose, the sugar found in milk and dairy products. Excessive milk consumption could exacerbate symptoms in individuals with lactose intolerance, but it is not the primary concern in this scenario.
C. Acute renal failure is not directly related to excessive milk consumption in an otherwise healthy toddler.
D. Excessive milk consumption can interfere with iron absorption from other foods, leading to iron-deficiency anemia, especially if the child's overall diet is poor or lacks sources of iron.
Therefore, this practice places the toddler at risk for iron-deficiency anemia.
Correct Answer is A
Explanation
A. Before withdrawing any insulin from the vial, it's essential to ensure that the pressure within the vial is equalized. This is achieved by injecting air into the vial equal to the volume of insulin to be withdrawn. Therefore, the nurse should first inject 20 units of air into the vial of NPH insulin. This prevents the formation of a vacuum inside the vial, making it easier to withdraw the correct dose of insulin.
B. Injecting air into the vial of regular insulin should be the second step after injecting air into the vial of NPH insulin. This ensures that both insulin types are prepared correctly.
C. Withdrawing 20 units of NPH insulin from the vial should occur after injecting air into the vial, not before.
D. Withdrawing 5 units of regular insulin from the vial should occur after injecting air into the vial, not before.
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