The nurse administers a nonsteroidal anti-inflammatory drug (NSAID) to a client who is experiencing chronic pain. When teaching the client about this medication, which effects will the nurse include in the session?
Select all that apply.
1. Anti-inflammatory effects
2. Analgesic effects
3. Antipyretic effects
4. Sedating effects
5. Anesthetic effects
Correct Answer: 1,2,3
Nonsteroidal anti-inflammatory drugs (NSAIDs) have anti-inflammatory, analgesic, and antipyretic effects. These medications do not have sedating or anesthetic effects in most clients, although some clients might report being able to fall asleep more easily once pain is reduced.
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The multiparous client at term has arrived to the Labor and Delivery unit in active labor with intact membranes. Leopold's maneuver indicates the fetus is in a transverse lie with a shoulder presentation. What physician order is most important?
1. Artificially rupture membranes. 2. Apply internal fetal scalp electrode. 3. Monitor maternal blood pressure every 15 minutes. 4. Alert surgical team of urgent cesarean.
A nurse is caring for a client with suicidal tendencies. Which of the following would be most important for the nurse to do after administering the drug orally?
A) Inspect the oral cavity to ensure that the drug is swallowed. B) Monitor body temperature for changes. C) Monitor blood pressure for unusual changes. D) Inspect pulse rate for unusual changes.
A client with severe esophageal varices is preparing for a transjugular intrahepatic portal systemic shunt (TIPS) insertion. What preprocedure teaching should be included for this client?
A. "You will be discharged home after you are fully awake." B. "You will receive sedation, but the procedure may still be painful." C. "Your liver will function normally within 8 hours of having the shunt placed." D. "This procedure is considered a major surgery and will require general anesthesia."
Which of the following statements accurately describe an aspect of managed care? Select all that apply
A) Managed care systems control the cost of care with a lower quality of care. B) The care of the patient is carefully planned and monitored by the primary care provider. C) The nurse is considered the "gatekeeper" in the managed care system. D) The managed care system expands the choice of care providers. E) The managed care system may required approval for specialty care. F) Planning and monitoring are conducted to ensure standards are followed.