A 63-year-old patient has had arthritis for 17 years. During this time, she has taken a variety of salicylates, NSAIDs, and other antiinflammatory medications
She has had progressive deteriora-tion of the right hip, causing pain and limitation of motion and confining her to a wheelchair. The doctor decides to try her on penicillamine. This drug is a: 1. salicylate.
2. uricosuric.
3. NSAID.
4. special antiarthritis medication.
4
Penicillamine, a breakdown product of penicillin, is used in the treatment of rheumatoid arthritis. It relieves symptoms of arthritis and in some ways stops the disease progression.
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A client with massive ascites had a paracentesis. The site continues to leak through several layers of dressings, despite the nurse holding pressure. Which intervention should the nurse do first?
a. Call the physician and request the puncture site be sutured. b. Have the client lie on the side with the puncture site. c. Obtain a urostomy pouch and apply it at the puncture site. d. Use a roll of Kerlex to hold the dressing in place.
Which contraceptive method should be contraindicated in a client with a history of toxic shock syndrome?
a. Condom b. Spermicide c. Cervical cap d. Oral contraceptives
Which of the following are examples of objective data? (Select all that apply)
a. A patient has an offensive body odor. b. A patient complains of feeling stressed. c. A patient complains of feeling anxious. d. A patient complains of substernal chest pain. e. A patient falls when ambulating to the bathroom. f. A patient states, "I feel a sense of impending doom."
The nurse is working with a group of recent immigrants from a country that practices female genital mutilation (FGM)
In order to be effective in teaching about gynecologic care in the United States, the nurse must keep which issues in mind? (Select all that apply.) A. Women may undergo FGM willingly to support the status quo of society. B. Women may undergo the procedure to be considered for marriage. C. Societies that practice FGM view women as having equal rights with men. D. FGM is usually done during infancy so women have no memory of the procedure. E. Women will view the term female genital mutilation as culturally appropriate.