A patient who has rheumatoid arthritis begins taking naproxen (Naprosyn) 500 mg once daily for pain. After 1 week, the patient calls the primary care NP to report no change in inflammation. The NP should:
a. change the medication to tramadol.
b. change the medication to ketorolac (Toradol).
c. increase the dose of naproxen to 1000 mg daily.
d. counsel the patient that pain relief may not occur for another week.
D
The analgesic effect of NSAIDs should be noticed within 1 to 4 hours of administration. However, the full antiinflammatory effect will not be apparent until after a few weeks. Tramadol and ketorolac are used for severe pain. It is not necessary to increase the dose of naproxen.
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Because a woman's membranes ruptured 32 hours before delivery, the nurse should assess the newborn for signs of:
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A nurse working in an outpatient pediatric clinic is speaking to the mother of a school-age client who has a temperature of 101 °F. Which statement should the nurse include when instructing the mother on treatment of the fever?
A) "Place the child in a cold bath." B) "Administer aspirin by either chewable tablet or liquid suspension." C) "It is not necessary to treat the fever at this point." D) "If your child is shivering, it is okay to use several blankets to decrease discomfort."
What statements made by the new graduate to the unit manager reflect effective followership? Select all that apply
a. "I was reading a nursing journal yesterday and found new evidence I'd like to share with you." b. "I understand what you are saying, but I don't think you are seeing my perspective about the situation." c. "I have an idea to solve the weekend staffing problem. What if we started by finding nurses who prefer working weekends?" d. "This problem is getting worse instead of better, so your solutions aren't working! You need to offer effective solutions." e. "I would be happy to join the education committee to develop a handbook for newly hired nurses."
During a health history the nurse plans to assess the functioning of a patient's central nervous system (CNS). Which question should the nurse ask to assess this function?
1. "Do you get dizzy when moving from a sitting to standing position?" 2. "Do you have difficulty adjusting to changes in temperature?" 3. "Do you have difficulty falling asleep in the evening?" 4. "Have you had any weight loss?"