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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Administering broad-spectrum antibiotics promptly is the priority because PID is a serious infection that can cause complications if not treated urgently.
B. Encouraging hydration is important but secondary to initiating antibiotic therapy.
C. Sexual abstinence is part of education but not the immediate priority in acute care.
D. Laparoscopy may be used for diagnosis but is not the first step in management.
Correct Answer is C
Explanation
Rationale:
A. Infertility is a possible side effect of pelvic radiation, not neck radiation.
B. Dyspnea may occur if the airway is directly affected by the tumor or swelling, but it is not the most common side effect of external neck radiation.
C. Dysphagia (difficulty swallowing) is a common and expected side effect of external radiation to the neck due to inflammation and irritation of the mucosa and esophagus.
D. Diarrhea is associated with abdominal or pelvic radiation, not head or neck treatment.
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