When assessing a client who is taking long-term ibuprofen (Motrin) for pain, the nurse finds numerous areas of bruising. What is the nurse's first action?
a. Assess for gastric discomfort.
b. Assess for the presence of pain.
c. Continue to monitor bruising.
d. Place client on falls precaution.
A
NSAIDs can cause gastrointestinal disturbances and can prevent platelet aggregation, which re-sults in GI bleeding. Therefore, clients should be observed for gastric discomfort or vomiting and bleeding.
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Which of the following recommendations should a nurse include in the client teaching for a client who has had surgery for cancer of the testes?
A) Refrain from any sexual activity until impotency is ruled out. B) Drink plenty of fluids, eat a well-balanced diet, obtain adequate rest, and avoid fatigue and heavy lifting. C) Measure the frequency and quantity of urine for at least 3 months after surgery. D) Masturbate regularly to drain the prostate gland.
The nurse is examining a male client's genitalia and notices the scrotum is asymmetric. The left side hangs lower than the right side. The nurse would correctly choose which of the following actions?
1. Reassess after increasing the temperature in the room. 2. Report the finding to the healthcare provider. 3. Consider this a normal finding and proceed with palpation of the scrotum. 4. Ask if the client if has noticed this before.
The nurse knows that an abnormal response to the ADH test would be
a. a slight increase in urine osmolality. b. a decrease in urine output. c. a decrease in serum osmolality. d. no change in urine osmolality.
What method is the most commonly used in completed suicides?
a. Firearms b. Drug overdose c. Self-inflicted laceration d. Carbon monoxide poisoning