A nurse in a clinic is talking with a client who has a new diagnosis of osteoarthritis. The nurse should anticipate that the client will require teaching about which of the following medications?

Acetaminophen

Celecoxib

Ibuprofen

Cyclobenzaprine

Answer and Explanation

Correct Answer : A,B,C

Acetaminophen is commonly used for pain relief in osteoarthritis. It is recommended for clients who have mild to moderate pain. It does not reduce inflammation but can be effective in managing pain without the gastrointestinal side effects associated with NSAIDs.

Choice B reason:
Celecoxib is a nonsteroidal anti-inflammatory drug (NSAID) that is specifically a COX-2 inhibitor. It is used to reduce pain and inflammation in osteoarthritis. Celecoxib can be a good option for those who need an anti-inflammatory and may have a lower risk of gastrointestinal bleeding compared to other NSAIDs.

Choice C reason:
Ibuprofen, another NSAID, is effective in reducing the inflammation and pain associated with osteoarthritis. It is available over the counter and can be used for short-term pain management, but it should be used cautiously due to potential side effects, including gastrointestinal bleeding and cardiovascular risks.

Choice D reason:
Cyclobenzaprine is a muscle relaxant and is not typically used as a first-line treatment for osteoarthritis. It may be prescribed in cases where muscle spasms are present, but it does not directly address the joint pain or inflammation caused by osteoarthritis.

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Correct Answer is C

Explanation

Choice A reason:
Hypertension is not typically an early manifestation of fat embolism syndrome (FES). FES is more commonly associated with hypoxemia, which can lead to hypotension rather than hypertension².

Choice B reason:
While a swollen calf may indicate deep vein thrombosis, it is not an early sign of FES. FES primarily affects the lungs and neurological systems early on, rather than causing localized swelling such as in a calf².

Choice C reason:
Tachypnea, or rapid breathing, is indeed an early sign of FES. This symptom usually develops before others and is due to the fat globules causing respiratory distress by blocking the pulmonary microcirculation²³⁴.

Choice D reason:
Bradycardia, or a slower than normal heart rate, is not an early sign of FES. Instead, patients may experience tachycardia as a response to hypoxemia and respiratory distress².

A. "The symptoms can get worse with penile penetration during intercourse." B. "A sensation of pressure in the pelvis can occur." C. "Low back pain can occur frequently." D. "Feces can be present in the vagina."

Correct Answer is D

Explanation

Choice A reason:
The statement that symptoms can worsen with penile penetration during intercourse is partially correct. While sexual activity may exacerbate feelings of bulging or discomfort associated with uterine prolapse, it does not typically worsen the prolapse itself⁹. Painful intercourse, known as dyspareunia, is a common symptom of pelvic organ prolapse, which includes uterine prolapse.

Choice B reason:
Feeling a sensation of pressure in the pelvis is a classic symptom of uterine prolapse. As the uterus descends into the vaginal canal, it can create a sensation of fullness or pressure that is often noticeable and uncomfortable for the patient.

Choice C reason:
Low back pain is indeed a symptom that can be associated with uterine prolapse. The weakening of pelvic floor muscles and ligaments that leads to prolapse can also contribute to discomfort in the lower back.

Choice D reason:
The presence of feces in the vagina would not be a direct symptom of uterine prolapse. However, a related condition called rectocele, where the rectum bulges into the vagina, could cause such a symptom. This condition is different from uterine prolapse and would require separate management.

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A nurse in a clinic is talking with a client who has a new diagnosis of osteoarthritis. The nurse should anticipate that the client will require teaching about which of the following medications?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has a pelvic fracture about the manifestations of fat embolism syndrome. The nurse should include which of the following findings as an early manifestation?

Correct Answer is C

Explanation

A nurse is providing teaching to a client about the manifestations of uterine prolapse. Which of the following statements by the client should indicate to the nurse a need for further teaching?

Correct Answer is D

Explanation

A nurse is reviewing the medication administration records of four clients who have a prescription for morphine PRN. Which of the following findings should the nurse identify as a contraindication to this medication?

A nurse is teaching a client about medications that prevent osteoporosis. The nurse should instruct the client that which of the following medications is prescribed to prevent osteoporosis?

A nurse is caring for a client who has hypovolemic shock. Which of the following should the nurse recognize as an expected finding?

A nurse is planning a teaching session about hysterosalpingography for a client who has a diagnosis of infertility. The nurse should include which of the following information in the teaching plan?

A nurse is caring for several clients at a community clinic. Which of the following clients is most at risk for developing type 2 diabetes mellitus?

A nurse is collecting the medical history from a client who has manifestations of the syndrome of inappropriate antidiuretic hormone (SIADH). The nurse should ask the client if they have a history of which of the following conditions that can cause SIADH?

A nurse is providing teaching to a client who has a prescription for heat therapy for the treatment of cellulitis of the right lower leg. Which of the following client statements indicates an understanding of the teaching?

A nurse is caring for a middle adult client who has just received the diagnosis of endometrial cancer. In taking a nursing history, which of the following manifestations is likely to be reported by this client?