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Which of the following teaching instructions should be included for the patient with newly prescribed opioid analgesic for pain? (SELECT ALL THAT APPLY).

"Avoid foods high in fiber."

"Be sure to plenty of fluids in your diet."

Take your prescribed stool softener with your morning medications."

"Limit activity because you will be dizzy from the medication"

"Take the opioid with a full 8 ounce glass of water and be sure to sit upright for at least 30 minutes after."

Answer and Explanation

Correct Answer : B,C,E

A. A diet high in fiber is important to prevent constipation, a common side effect of opioid use.

B. Adequate fluid intake helps to prevent dehydration and constipation.

C. Taking a stool softener daily can help mitigate the constipating effects of opioids.

D. While dizziness can occur, clients should be encouraged to maintain an appropriate level of activity with precautions.

E. Taking the opioid with a full glass of water and sitting upright can help prevent esophageal irritation and ensure proper swallowing of the medication.

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Correct Answer is ["A","B","D"]

Explanation

A. Bleeding disorders pose a risk of excessive bleeding during and after surgery.

B. An active infection can complicate the healing process and increase the risk of prosthetic joint infection.

C. While immobility may indicate a need for the surgery, it is not a contraindication.

D. Advanced osteoporosis can compromise the bone's ability to support the prosthetic, making surgery less viable.

E. Severe pain is one of the primary indications for considering hip replacement surgery.

A. Inflammation of the lungs B. Tender and warm joints C. Nodules on the skin D. Pain and stiffness of joints E. Swelling of joints affected

Correct Answer is ["D","E"]

Explanation

A. Inflammation of the lungs: This is not associated with osteoarthritis but could indicate other conditions such as rheumatoid arthritis or systemic diseases.

B. Tender and warm joints: These are more typical of inflammatory conditions like rheumatoid arthritis.

C. Nodules on the skin: Nodules are common in rheumatoid arthritis, not osteoarthritis.

D. Pain and stiffness of joints: Osteoarthritis is characterized by joint pain and stiffness, especially after inactivity or overuse.

E. Swelling of joints affected: Swelling occurs due to inflammation and changes in the joint structure associated with osteoarthritis.

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Which of the following teaching instructions should be included for the patient with newly prescribed opioid analgesic for pain? (SELECT ALL THAT APPLY).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is being considered for a total hip replacement. The nurse understands that contraindications for this procedure include: (SELECT ALL THAT APPLY)

Correct Answer is ["A","B","D"]

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Correct Answer is ["D","E"]

Explanation

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