The nurse reviews the medication orders for an older patient with arthritis in both hips who reports level 3 (0 to 10 scale) hip pain while ambulating. Which medication should the nurse offer as initial therapy?

Aspirin (acetylsalicylic acid) 650 mg orally

Oxycodone 5 mg orally

Naproxen 200 mg orally

Acetaminophen 650 mg orally

Answer and Explanation

The Correct Answer is D

Rationale:
A. Aspirin can relieve mild pain but has a higher risk of gastrointestinal bleeding and irritation in older adults, making it less ideal as first-line therapy.
B. Opioids are reserved for moderate to severe pain or when other analgesics are ineffective. Using oxycodone for mild pain (level 3) is inappropriate and carries unnecessary risks of dependence and side effects.
C. NSAIDs are effective for arthritis pain but should be used cautiously in older adults due to risks of gastrointestinal bleeding, renal impairment, and cardiovascular effects.
D. Acetaminophen is recommended as the first-line therapy for mild arthritis pain in older adults because it is effective for mild pain and has a safer profile when used within recommended limits.

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Correct Answer is A

Explanation

Rationale:
A. Using body-temperature fluid prevents stimulation of the vestibular nerve, which can cause dizziness, nausea, or vertigo.
B. The syringe should not completely occlude the canal; allowing space prevents pressure buildup and potential injury to the tympanic membrane.
C. Inserting applicators (like cotton swabs) into the ear canal can push cerumen deeper or damage the ear canal/tympanic membrane.
D. Ear irrigation is best performed with the patient sitting upright, with a basin held under the ear to collect the solution.

A. "Those symptoms may indicate a need for a change in dosage of the eyedrops." B. "The drops are uncomfortable, but it is important to use them to retain your vision." C. "These are normal side effects of the drug, which should be less noticeable with time." D. "Notify your health care provider so that different eyedrops can be prescribed for you."

Correct Answer is C

Explanation

Rationale:
A. Burning and blurriness are common local side effects and not typically an indication that the dosage needs to be changed.
B. While true that timolol must be continued to preserve vision, this response does not address the patient’s concern about side effects.
C. Burning, discomfort, and temporary blurriness are common side effects of timolol eye drops and usually improve with continued use.
D. A medication change is not indicated unless symptoms are severe, persistent, or intolerable.

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The nurse reviews the medication orders for an older patient with arthritis in both hips who reports level 3 (0 to 10 scale) hip pain while ambulating. Which medication should the nurse offer as initial therapy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which action will the nurse take when performing ear irrigation for a patient with cerumen impaction?

Correct Answer is A

Explanation

A patient with glaucoma who has been using timolol (Timoptic) drops for several days tells the nurse that the eyedrops cause eye burning and visual blurriness after administration. The best response to the patient's statement is

Correct Answer is C

Explanation

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