What should the nurse monitor the client for when taking aspirin?
The nurse should monitor the client for bleeding gums, which is an adverse effect of warfarin, an anticoagulant. A nurse in a provider's office is assessing a client who has been taking aspirin daily for the past year. For which of the following findings should the nurse notify the provider immediately?
What does a client with rheumatoid arthritis tell the nurse?
A client with rheumatoid arthritis tells the nurse "I know it is important to exercise my joints so that I will not lose mobility, but my joints are so stiff and painful that exercising makes it difficulty." Which response by the nurse is most appropriate: a.
What should a nurse do if a client is taking atorvastatin?
The client should check their heart rate before taking the medication and notify the provider if it falls below the expected reference range. A nurse is caring for a client who is taking atorvastatin for hyperlipidemia. Which of the following client laboratory values should the nurse monitor?
What is the nurse teaching the client with osteoarthritis?
The nurse is teaching a client with osteoarthritis about the disease. What is the most important client focus for disease management? The goals of osteoarthritis disease management are to decrease pain and stiffness and improve joint mobility.
What should a nurse do with a transdermal client?
Place monitoring cords and tubes in a stockinet. The nurse should place monitoring devices in a stockinet to prevent direct contact with the client's skin. A nurse is teaching about self-administration of transdermal medication with a male client who has a new prescription for nitroglycerin.
How much water should a nurse drink a day?
The nurse should instruct the client to increase water intake to 1,920 to 2,400 mL (65 to 81 oz) a day to decrease the chance of kidney damage from crystallization. A nurse is caring for a client who has hypocalcemia and is receiving calcium citrate.
What does 2.6 mean in creatinine?
Creatinine 2.6 mg/dL. Ceftazidime is excreted primarily by the renal system. A serum creatinine level above 1.3 mg/dL can indicate a kidney disorder requiring a reduction in the dose administered. The nurse should notify the provider, who is likely to prescribe a lowered dose of medication.
Why does my client have a dry mouth?
Dry mouth. The nurse should expect the client to have a dry mouth due to the blocking of acetylcholine receptors that cause anticholinergic responses. A nurse is preparing to administer a new prescription of amoxicillin/clavulanic to a client. The client tells the nurse that they are allergic to penicillin.
Can isosorbide mononitrate cause hypotension?
Taking isosorbide mononitrate leads to vasodilation, which can result in hypotension. The nurse should withhold the medication and notify the provider if the client's systolic blood pressure is below the expected reference range of 120/80. A nurse is assessing a client who is receiving epoetin alfa to treat anemia.
Does atorvastatin cause muscle weakness?
The client who is taking atorvastatin can develop an adverse effect called rhabdomyolysis, which causes muscle weakness or pain and can progress to myositis. Creatinine kinase levels rise in response to enzymes released with muscle injury. Click again to see term 👆. Tap again to see term 👆.
Why would a nurse not add or remove weight from the client's traction setup?
The nurse would not add or remove any weight from the client's traction setup because this would disrupt the alignment of the fracture. The nurse is caring for a client at risk for fat embolism because of a fracture of the left femur and pelvis sustained in a fall.
What should be called for a client who is not hospitalized?
Emergency help should be called for if the client is not hospitalized, and a health care provider is called for the hospitalized client. The nurse should remain with the client and provide realistic reassurance. The nurse does not prescribe radiographs. Telling the client that everything will be fine is nontherapeutic.
What should a nurse observe when assessing neurovascular status?
The nurse should observe the client's ability to move his toes when collecting data regarding neurovascular status distal to the fracture. Other means of evaluating neurovascular status include assessing skin color and temperature, sensation, pain, and capillary refill.
What is the best treatment for osteoarthritis?
The nurse should instruct the client that the primary medication of choice for the treatment of osteoarthritis is acetaminophen. NSAIDS, such as celecoxib and ibuprofen, might be tried if acetaminophen does not control discomfort.
What should a client be instructed to do?
The client should be instructed to use pain or fatigue as an indicator and guide to increase, maintain, or decrease an activity level. If pain or fatigue is experienced, the client should rest. The client should learn to slide objects rather than lifting them and not remain in the same position for a long time.
Is skin traction a priority assessment?
Although constipation can occur as a result of immobility and monitoring bowel sounds may be a component of the assessment, this intervention is not the priority assessment. There are no pin sites with skin traction.
What is a clinic nurse?
A clinic nurse is performing an assessment on a client with rheumatoid arthritis who has been taking acetylsalicylic acid (aspirin) for the disorder. The nurse assesses the client for signs of aspirin toxicity. Which finding should alert the nurse to the possibility of toxicity? 1.
How to take Colchicine for gout?
3. The effect of the medication will occur immediately. 4. Any swelling of the lips is a normal expected response. 1. Drink 3000 mL of fluid a day. Colchicine (Colcrys) is prescribed for a client with a diagnosis of gout.
How often should I apply a headache medication?
2. To apply the medication three times a day and place a heating pad on top of the area. 3. That the medication contains a combination of medications, one of which is an analgesic. 4. That the onset of headache indicates a systemic reaction and the HCP must be notified.
How to take a syringe?
2. Take the medication in the morning with breakfast. 3. Lie down for 30 minutes after taking the medication . 4. Take the medication with a full glass of water after rising in the morning. 4. Take the medication with a full glass of water after rising in the morning.
What are the symptoms of a syringe injection?
1. The injection site for itching and edema. 2. The white blood cell counts and platelet counts. 3. Whether the client is experiencing fatigue and joint pain. 4. Whether the client is experiencing a metallic taste in the mouth, and a loss of appetite. 2.
How to treat gout from probenecid?
Use an antihistamine lotion if an itchy rash develops. 1. Drink at least 8 glasses of fluid every day. The home health nurse is providing dietary instructions to a client who is taking probenecid (Benemid) for the treatment of gout.
What is a nurse teaching about ciprofloxacin?
A nurse is teaching about a new prescription for ciprofloxacin to an older adult who has a urinary tract infection. The nurse should identify which of the following statements as an indication that the client understands the teaching? I will report any signs of tendon pain or swelling.
What is a nurse teaching a group of unit nurses about medication reconciliation?
Which of the following information should the nurse include in the teaching? A transition in care requires the nurse to conduct medication reconciliation. A nurse is assessing a client who is receiving alfa to treat anemia.
What is a nurse planning care for?
A nurse is planning care for a client who is prescribed metoclopramide following bowel surgery. for which of the following adverse effects should the nurse monitor? A nurse in the emergency department is caring for a client who has myasthenia gravis and is in a cholinergic crisis.
What is the nurse teaching about docusate sodium?
Insomnia. A nurse is teaching a client who has a new prescription for docusate sodium about the medication's mechanism of action. Which of the following information should the nurse include in the teaching? Docusate sodium reduces the surface tension of the stools to change their consistency.
What is a nurse teaching?
A nurse is providing teaching to a client who is to start therapy with digoxin. for which of the following adverse effects should the nurse instruct the client to monitor and report to the provider? Yellow- tinged vision. A nurse is providing teaching to a client who is taking bupropion as an aid to quit smoking.
What is the best treatment for rheumatoid arthritis?
Nonsteroidal anti-inflammatory drugs. Nonsteroidal anti-inflammatory drugs are the mainstay of treatment for rheumatoid arthritis pain. They help to decrease inflammation in the joints. Heat, rather than ice packs, is used to relieve pain.
What is the characteristic of osteoarthritis?
A characteristic feature of osteoarthritis (degenerative joint disease) is joint stiffness that decreases with activity and movement. Erythema and edema over the affected joint, anorexia, weight loss, and fever and malaise are associated with rheumatoid arthritis, a more severe and destructive form of arthritis.
What is tricyclic antidepressant?
Tricyclic antidepressants are used to improve or restore normal sleep patterns, and individualized programs of exercise are used to decrease muscle weakness and discomfort and to improve the general deconditioning that occurs in these individuals. A client with rheumatoid arthritis reports joint pain.
What is the purpose of hyaluronate injection?
Viscosupplementation. Viscosupplementation, the intra-articular injection of hyaluronates, is thought to prevent the loss of cartilage and repair chondral defects. It may also have some anti-inflammatory effects. Glucosamine and chondroitin are thought to improve tissue function and retard breakdown of cartilage.
Why should a nurse instruct a client to rest?
Because rest usually relieves the pain, the nurse should instruct the client to rest frequently, especially after activities, and to pace oneself during daily activities. Telling the client to do chores in the morning is incorrect because the pain and stiffness of osteoarthritis are most pronounced in the morning.
What is colchicine used for?
colchicine. Colchicine is prescribed for the treatment of an acute attack of gout. A client with gout has been advised to lose weight. The client informs the nurse of plans to go on a "guaranteed rapid weight loss" plan that involves fasting and heavy exercise.
What is RA characterized by?
RA is characterized by inflamed, swollen joints.". OA is a degenerative arthritis, characterized by the loss of cartilage on the articular surfaces of weight-bearing joints with spur development. RA is characterized by inflammation of synovial membranes and surrounding structures.