An older patient with mild arthritis pain asks the nurse what can be taken to help with the minor discomfort. How should the nurse respond to this patient?
1. Ibuprofen should be used on an empty stomach.
2. Aspirin in the best choice because it has fewer side effects.
3. Acetaminophen (Tylenol) is a good choice for mild pain, but check with your doctor.
4. Nonsteroidal anti-inflammatory medications are used for patients with a stomach ulcer history.
3
Rationale: Ibuprofen should be taken with food since it can cause stomach irritation.
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The nurse in the genetics clinic is helping mothers understand the causes of their children's genetic disorders. The nurse will explain how monosomy from nondisjunction during meiosis caused the disorder in the child with:
1. Classic Turner's syndrome. 2. Mosaic Down syndrome. 3. Mosaic Edwards' syndrome. 4. Duchenne's muscular dystrophy.
An older adult who has OA receives a prescription for alendronate (Fosamax). Which instruction should the nurse include in patient teaching?
a. Use with a bisphosphonate medication. b. Is available for oral use. c. Take this medication for up to 2 years. d. Consume up to 600 mg of calcium daily.
An immunocompromised child is exposed to chickenpox and the provider orders valacyclovir [Valtrex] to be given orally three times daily. The nurse will contact the provider to change this order for which reason?
a. Valacyclovir is not used as varicella prophylaxis. b. The dosage is too high for this indication. c. The drug may cause serious adverse ef-fects in immunocompromised patients. d. Valacyclovir is not approved for use in children.
The patient scheduled for a bronchoscopy is given nothing by mouth (NPO) after midnight, before the procedure. The patient is complaining of being thirsty and requests some water on the morning of the procedure
The nurse should explain to the patient that the reason for keeping him NPO is to prevent: 1. accumulation of fluid in the lungs. 2. pulmonary infections. 3. vomiting and aspiration during the procedure. 4. a full bladder during surgery.