A client is prescribed a nonsteroidal anti-inflammatory drug (NSAID) for treatment of gout. Which nursing instruction should be provided?
1. "Your initial dose will be low during your acute attack, but we will raise it over the next few weeks."
2. "This drug will help with inflammation, but I will give you a second medication for pain."
3. "If you have stomach pain, please call me for a medication adjustment."
4. "You may find that you cannot sleep while taking this medication."
3
Rationale 1: Acute attacks are treated with higher doses. Lower doses are used for minor pain and inflammation.
Rationale 2: NSAIDs decrease inflammation and help relieve pain.
Rationale 3: One of the side effects of NSAIDs is stomach pain.
Rationale 4: Sleeplessness is not a side effect of NSAIDs therapy.
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Which of the following best explains why the name of parish nursing was changed to faith community nursing by the American Nurses Association (ANA)?
a. To allow nurses to use the title "congregational nurse" or "church nurse" rather than "parish nurse" b. To allow nurses who were not religious to accept practice positions c. To decrease the emphasis on the church d. To emphasize the community setting of the specialty e. To reflect the diversity now found in the specialty
The presence of jaundice in a dark-skinned individual appears as a yellow to orange coloration of the
a. skin, mucous membranes, and palmar and plantar surfaces. b. fingernails and skin. c. sclera, hard palate, and palmar and plantar surfaces. d. sclera only.
During the admission history of a patient with myelodysplastic syndrome, the nurse should question the patient about exposure to:
A) radiation. B) tuberculosis. C) Lyme disease. D) asbestos.
Maria Vasquez is a home health nurse specializing in care of high-risk prenatal clients. Which of the following clients would probably not be a candidate for Maria?
1. Gretchen Mitchell, who is 26 weeks and on strict bed rest with continual uterine monitoring because of premature labor 2. Hannah Peters, who is 22 weeks and carrying twins and needs monthly ultrasound evaluation of fetal growth 3. Irene Johnson, who is 30 weeks and has been discharged with preeclampsia but will be readmitted for delivery in 2 or 3 weeks 4. Janice Wilson, who is 14 weeks' gestation and is seriously dehydrated and losing weight following several weeks of hyperemesis