Which statement made by the client to the nurse indicates a precipitating factor associated with pain?

"My pain comes and goes all night long."

"I usually feel a little dizzy and think I'm going to vomit when I have pain."

"I experience pain after eating breakfast in the morning."

"My pain feels like a sharp object is sticking me."

Answer and Explanation

The Correct Answer is C

A. "Pain comes and goes all night long" is a description of pain pattern, not a precipitating factor.

B. Dizziness and nausea are associated with pain but are not directly related to a precipitating factor.

C. This statement suggests that eating breakfast may be a precipitating factor for pain, indicating that the pain may be related to digestive or gastrointestinal issues, such as acid reflux or ulcers.

D. Describing the pain as "sharp" gives details of pain quality but not a precipitating factor.

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Correct Answer is C

Explanation

A. The patient should not lie down after taking alendronate, as it increases the risk of esophageal irritation.

B. Alendronate should be taken on an empty stomach, and while dairy products should generally be avoided when taking certain medications, this specific instruction applies more to calcium or iron supplements.

C. Alendronate should be taken on an empty stomach, ideally first thing in the morning, with a full glass of water to enhance absorption. The patient must remain upright for 30 minutes to prevent esophageal irritation and reduce the risk of esophageal ulcers.

D. The medication should not be taken with milk or juice, as they can interfere with absorption.

A. Hypotension B. Heartburn C. Fever D. Gout

Correct Answer is C

Explanation

A. Hypotension is not associated with SLE exacerbation.

B. Heartburn is not a trigger for SLE flares.

C. Fever can indicate infection or inflammation, common triggers for SLE exacerbations.

D. Gout is unrelated to SLE exacerbation.

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Which statement made by the client to the nurse indicates a precipitating factor associated with pain?

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