A patient inquires why ibuprofen (Motrin) and not acetaminophen (Tylenol) is usually prescribed for menstrual discomfort. Which response by the nurse is best?
A.
Cheaper than Tylenol
B.
Fewer side effects
C.
Inhibits prostaglandins
D.
Works more quickly
ANS: C
Prostaglandin release causes vasoconstriction and muscle contractions that lead to the tissue ischemia and pain felt with dysmenorrhea. Tylenol's mechanism of action is not fully understood, but it is thought to raise the pain threshold. Ibuprofen is a prostaglandin inhibitor. Both drugs can be found in generic form for little money. All drugs have side effects. Oral medications take 30-45 minutes to start working.
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A client is scheduled to return to the clinic for some follow-up testing three days from today. She is also to have a Pap smear done the same day
After the nurse teaches the client about the Pap smear, which of the following client statements indicates successful teaching? A) "I need to douche the night before with a mild vinegar solution." B) "I will make sure to take a tub bath first thing that morning to make sure I'm clean." C) "I will not engage in any sexual intercourse for the next 48 hours." D) "I will get a clean urine specimen when I first wake up the morning of the test."
The nurse would encourage the client who is attempting to lose weight to reduce the intake of
a. broccoli. b. cheese. c. chicken. d. oranges.
The spouse of a patient with panic attacks tells the nurse, "I am afraid my husband has a permanent disorder and will have many hospitalizations in the future
I wonder how I will be able to raise our children alone." The nurse's reply should be based on knowledge of: a. psychopathology. b. milieu management. c. psychopharmacology. d. nursing relationship therapy.
A nurse forgets to raise the bed railings of a client who is confused after taking pain medications. The client attempts to get out of bed, and suffers a minor fall
The nurse asks a colleague who witnessed the fall not to mention it to anyone because the client only had minor bruises. What would be the appropriate action of the colleague? A) No other steps need to be taken, since the client was not seriously injured. B) The colleague should inform the nurse that a full report of the incident needs to be made. C) The colleague should monitor the client closely for any adverse effects of the fall. D) The colleague should report the incident in a peer review of the nurse.