A client has a new prescription for diclofenac, a nonsteroidal antiinflammatory drug (NSAID). Which information in the client's history is of greatest concern to the nurse in monitoring the client's response to this medication?

Migraine headaches.

Chronic alcoholism.

Osteoarthritis.

Type 2 diabetes mellitus.

Answer and Explanation

The Correct Answer is B

A) Migraine headaches: While migraine headaches are significant for overall health management, they are less directly related to the risks associated with NSAID use compared to other conditions. Migraines do not typically influence the safety profile of NSAIDs.

B) Chronic alcoholism: Chronic alcoholism is a major concern because it significantly increases the risk of gastrointestinal complications with NSAID use. NSAIDs can cause gastric irritation, bleeding, and ulcers, and alcohol can exacerbate these risks, leading to severe gastrointestinal issues or liver damage.

C) Osteoarthritis: Osteoarthritis is a common indication for NSAID use and, therefore, does not pose an additional risk specific to the medication. NSAIDs are often prescribed to manage pain and inflammation associated with osteoarthritis.

D) Type 2 diabetes mellitus: Although diabetes mellitus requires careful management, it does not directly increase the risk of NSAID-related complications. However, clients with diabetes need to be monitored for overall health and medication effects, but chronic alcoholism poses a more immediate risk for NSAID use.

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Correct Answer is C

Explanation

A. Avoid the consumption of alcohol:
This instruction is appropriate because alcohol can increase the risk of liver damage when taking acetaminophen. Clients should avoid alcohol to prevent potential adverse effects on the liver.

B. Report any color changes to urine:
Acetaminophen can cause changes in urine color, such as darkening, which might indicate liver problems or other issues. Reporting such changes is important for monitoring potential side effects and ensuring timely intervention.

C. Take additional doses as needed:
This statement requires clarification because acetaminophen should be taken according to the prescribed dosage and frequency. Taking additional doses can lead to an overdose and serious liver damage. Clients should follow the recommended dosing guidelines and consult their healthcare provider if additional pain relief is needed.

D. Stop medication if a rash develops:
If a rash develops, it could be a sign of an allergic reaction or other adverse effect. Stopping the medication and seeking medical advice is appropriate to prevent further complications.

A. The viral load can be decreased to an undetectable level. B. Antiretroviral medication prevents the transmission of the virus. C. The medications can decrease acquired immunodeficiency syndrome (AIDS) related complications. D. HIV infection is not cured by the antiretroviral regimen.

Correct Answer is B

Explanation

A. The viral load can be decreased to an undetectable level:
This statement is accurate. Antiretroviral medications can reduce the viral load in the blood to undetectable levels, which helps in managing HIV effectively.

B. Antiretroviral medication prevents the transmission of the virus:
This statement is misleading. While antiretroviral medications are effective in managing HIV and can reduce the viral load to undetectable levels, they do not entirely prevent the transmission of the virus. Safe practices, including the use of condoms and pre-exposure prophylaxis (PrEP), are also necessary to reduce transmission risk.

C. The medications can decrease acquired immunodeficiency syndrome (AIDS) related complications:
This is correct. Antiretroviral therapy helps manage HIV, preventing the progression to AIDS and reducing the likelihood of complications associated with AIDS.

D. HIV infection is not cured by the antiretroviral regimen:
This is true. Current antiretroviral therapies effectively control HIV and prevent progression to AIDS, but they do not cure the infection. Ongoing treatment is necessary to maintain viral suppression and overall health.

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A client has a new prescription for diclofenac, a nonsteroidal antiinflammatory drug (NSAID). Which information in the client's history is of greatest concern to the nurse in monitoring the client's response to this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is educating a client about acetaminophen. Which information provided by the client requires additional instruction by the nurse?

Correct Answer is C

Explanation

The nurse is teaching a client who has been diagnosed with human immunodeficiency virus (HIV) about the antiretroviral medication regimen. Which statement provided by the client requires additional instruction by the nurse?

Correct Answer is B

Explanation

A client with allergic rhinitis is taking the over-the-counter antihistamine diphenhydramine HCL. Which instruction is most important for the nurse to provide this client?

A client has a new prescription for diclofenac, a nonsteroidal antiinflammatory drug (NSAID). Which information in the client's history is of greatest concern to the nurse in monitoring the client's response to this medication?

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