What precaution should the nurse teach the client who is prescribed to take the NSAID ibuprofen (Motrin) for dysmenorrhea?

A. "Avoid using oral contraceptives with this medication."
B. "Use sunscreen whenever you are out of doors."
C. "Take this medication with food or milk."
D. "Avoid crowds and people who are ill."


C
These medications inhibit the prostaglandins responsible for producing the thick, gel-like mucus that coats the stomach and protects it from ulceration. This type of NSAID promotes gastrointes-tinal ulceration. Taking the drug with food helps prevent this side effect.

Nursing

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The nurse at the assisted living facility inspects the skin of a resident with intense pruritus. Which of the following symptoms would support the need for treatment of scabies?

A) The itching is worse during the day. B) The lesions are concentrated on the abdomen. C) The lesions are linear with a vesicle on one end. D) The vesicles follow a nerve route.

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A 7-year-old boy is scheduled to receive 3D conformal radiotherapy. The nurse knows that the parents understand the use of this type of radiation therapy when the father states:

1. "The standard margins will be targeted so that the tumor shrinks.". 2. "This type of radiation is a last resort, so we should start planning for end-of-life care for our son.". 3. "The radiation will occur while he is in surgery.". 4. "The high doses of radiation will be concentrated on the tumor, and low doses of radiation will be concentrated on the surrounding tissue.".

Nursing

Due to complications, a male postoperative patient has been unable to mobilize secretions for several days following surgery and develops atelectasis. Which of the following processes would his care team anticipate with relation to his health problem?

A) Vasodilation in the alveolar vessels in the affected region of his lung B) Increased workload for the left side of the patient's heart C) Increased blood flow to the area of atelectasis D) Directing blood flow away from the lung regions that are hypoxic

Nursing

An elderly client at a health care facility dies after a prolonged illness. Which of the following is a psychological reaction associated with the different stages of grief?

A) Refusal to accept death B) Behaving in a morbid manner C) Tightness in the throat D) Difficulty breathing

Nursing