A 65-year-old patient with a history of osteoarthritis reports increased pain and stiffness in the knees, particularly in the morning and after prolonged inactivity. Which intervention is most appropriate to recommend to this patient to help alleviate these symptoms?

Initiate high-intensity weight-bearing exercises.

Increase dietary intake of calcium and vitamin D supplements.

Avoid all physical activity to prevent further joint damage.

Apply heat therapy to the affected joints before engaging in physical activity.

Answer and Explanation

The Correct Answer is D

A.   High-intensity weight-bearing exercises can exacerbate pain in patients with osteoarthritis and is not appropriate for alleviating knee stiffness.
B.   Calcium and vitamin D supplementation is important for bone health, but it will not directly address the pain and stiffness associated with osteoarthritis.
C.   Avoiding physical activity is not recommended for osteoarthritis; instead, moderate exercise can help improve joint function.
D.   Applying heat therapy to the affected joints before engaging in physical activity is an effective method for alleviating stiffness and promoting mobility. Heat helps relax muscles and improve blood flow to the affected area.

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Correct Answer is C

Explanation

A. Ecchymosis on the abdomen or pelvic areas is not typically a sign of peptic ulcer complications, but signs of bleeding such as melena or hematemesis are.
B. Weight gain is not a common indicator of peptic ulcer issues, so it would not be a focus in this case.
C. Dark or black-colored stools are a sign of gastrointestinal bleeding, which can be a complication of a peptic ulcer and should be closely monitored.
D. Changes in urine color (maroon or red) may indicate other types of bleeding, such as from the kidneys or urinary tract, not specifically from peptic ulcers.

Correct Answer is ["90"]

Explanation

Calculate the required dosage: 5 mg/kg/hour × 72 kg = 360 mg/hour.

Determine the volume required based on the concentration: 360 mg ÷ (400 mg/100 mL) = 90 mL/hour.
The correct infusion rate is 90 mL/hour for this patient.

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A 65-year-old patient with a history of osteoarthritis reports increased pain and stiffness in the knees, particularly in the morning and after prolonged inactivity. Which intervention is most appropriate to recommend to this patient to help alleviate these symptoms?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge instructions to a client who has a peptic ulcer. Which of the following information should the nurse include in the teaching?

Correct Answer is C

Explanation

A patient with a severe bacterial infection has been prescribed a continuous IV infusion of an antibiotic at a rate of 5 mg/kg/hour. The patient weighs 72 kg. The pharmacy provides the antibiotic in a concentration of 400 mg/100 mL what will be the infusion rate?

Correct Answer is ["90"]

Explanation

A patient presents with numbness and tingling in the thumb, index, and middle fingers, and a positive Phalen's test. Which of the following interventions would be most appropriate to address the underlying cause of these symptoms?

A 55-year-old patient with newly diagnosed Type II Diabetes Mellitus is being educated on lifestyle modifications to manage their condition. Which of the following dietary recommendations would be most effective in controlling their blood glucose levels?

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