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A nurse in a provider's office is caring for a client who asks about using acupuncture to manage his osteoarthritis pain. The nurse should identify which of the following conditions as a contraindication for receiving this treatment?

Obesity

Hypothyroidism

Hypertension

Herpes zoster

Answer and Explanation

The Correct Answer is D

Incorrect. Obesity is not a contraindication for acupuncture.

B. Incorrect. Hypothyroidism is not a contraindication for acupuncture.

C. Incorrect. Hypertension is not a contraindication for acupuncture.

D. Correct. Herpes zoster (shingles) involves a reactivation of the varicella-zoster virus and can cause skin lesions. Acupuncture involves the insertion of needles through the skin, which could potentially worsen the condition or lead to the spread of the virus.

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Correct Answer is C

Explanation

A. Incorrect. Family history of malignant hypertension is not a contraindication for alteplase.

B. Incorrect. COPD itself is not a contraindication for alteplase. While it can complicate overall management, it does not increase the immediate risk of bleeding associated with thrombolytics.

C. Correct. Recent surgery, especially orthopedic surgery like hip arthroplasty, is a contraindication for thrombolytic therapy due to the increased risk of bleeding and hematoma formation at the surgical site.

D. Incorrect. Acute renal failure from six months ago is not a contraindication for alteplase.

Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"E"}

Explanation

Upper gastrointestinal (GI) endoscopy: This procedure is often indicated for patients presenting with symptoms suggestive of gastrointestinal bleeding, such as dark, tarry stools (melena), which can indicate bleeding in the upper GI tract.

Dark tarry stool: This finding suggests the presence of digested blood, which typically originates from the upper GI tract. This symptom, along with a history of abdominal pain that worsens after eating, indicates a potential peptic ulcer or other upper GI pathology.

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A nurse in a provider's office is caring for a client who asks about using acupuncture to manage his osteoarthritis pain. The nurse should identify which of the following conditions as a contraindication for receiving this treatment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an emergency department is reviewing the medical record of a client who is having an acute myocardial infarction. Which of the following findings places the client at risk if he receives alteplase?

Correct Answer is C

Explanation

A nurse is caring for a client who is admitted to the medical-surgical unit. Exhibits Complete the following sentence by using the lists of options. The nurse anticipates the client will likely require an dropdown as evidenced by the client's dropdown.

Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"E"}

Explanation

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