The client diagnosed with osteoarthritis (OA) is prescribed a PO non-steroidal anti-inflammatory (NSAID). Which instruction should the nurse teach the client?

Take the medication on an empty stomach

Apply the medication topically over the affected joints

Ensure that the medication is tapered when discontinued

Notify the health care provider if vomiting blood

Answer and Explanation

The Correct Answer is D

Rationale:
A. Taking NSAIDs on an empty stomach can increase the risk of gastrointestinal irritation and ulcers; they should be taken with food or milk.
B. Oral NSAIDs are not intended for topical use; topical NSAIDs are separate formulations.
C. NSAIDs do not require tapering before discontinuation; tapering is usually necessary with corticosteroids, not NSAIDs.
D. Vomiting blood may indicate gastrointestinal bleeding, a serious side effect of NSAIDs. Clients should be instructed to report this symptom immediately.

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Correct Answer is C

Explanation

Rationale:
A. While reviewing fluid balance is important, it is not the priority in response to symptoms of hyperglycemia.
B. Reducing the TPN rate without verifying the cause of symptoms could lead to undernourishment or abrupt changes in glucose levels.
C. Blurred vision, dry mouth, and frequent urination are classic signs of hyperglycemia. Since TPN contains high levels of glucose, a finger-stick blood glucose check is the priority to confirm and address potential hyperglycemia.
D. Vital signs are important, but do not directly assess the suspected cause of the client's symptoms in this case.

A. Maintain the left arm in a dependent position. B. Teach the client how to cut cuticles C. The cancer has been totally removed, and no follow-up therapy will be required. D. Don't lift more than five (5) pounds with the left hand until released by the HCP

Correct Answer is D

Explanation

Rationale:
A. The affected arm should be elevated, not kept dependent, to reduce swelling and prevent lymphedema.
B. Clients should be taught NOT to cut cuticles to avoid infections, especially after breast surgery.
C. Follow-up therapy (e.g., radiation, chemotherapy) may still be needed depending on pathology results; clients should be advised to continue regular follow-up.
D. Avoiding lifting heavy objects (more than 5 pounds) with the affected arm until cleared by the healthcare provider helps prevent strain and lymphedema. This is important discharge teaching.

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The client diagnosed with osteoarthritis (OA) is prescribed a PO non-steroidal anti-inflammatory (NSAID). Which instruction should the nurse teach the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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