A nurse in a provider's office is collecting data from an adolescent who has juvenile idiopathic arthritis and has been taking ibuprofen daily for the last 6 months. Which of the following client statements should the nurse report to the provider?
"I have morning stiffness in my joints."
"I have been taking a multivitamin that contains iron."
"I noticed some blood in my stool this morning."
"I skipped taking my ibuprofen last week after I went swimming."
The Correct Answer is C
Rationale:
A) Morning stiffness in the joints is a common symptom of juvenile idiopathic arthritis and is expected in this client population. It does not require immediate reporting to the provider.
B) Taking a multivitamin containing iron is generally not concerning and may even be beneficial for clients with arthritis who may have dietary deficiencies. It does not require immediate reporting to the provider.
C) The presence of blood in the stool may indicate gastrointestinal bleeding, a potential adverse effect of long-term ibuprofen use. This symptom should be reported to the provider promptly for further evaluation.
D) Skipping ibuprofen doses occasionally, particularly if the client missed one dose, may not be concerning unless it becomes a pattern of non-compliance. It does not require immediate reporting to the provider, although it should be addressed during routine follow-up.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A) A hemangioma is a benign vascular tumor commonly found in infants and is not indicative of physical maltreatment.
B) A burn with splash marks, especially in a patterned distribution, raises suspicion of physical abuse and should be reported immediately for further evaluation.
C) A large, irregular, brownish-blue area on the infant's buttock may indicate bruising, but further assessment is needed to determine the cause.
D) An abrasion on the back of the infant's arm may be due to accidental injury and does not necessarily indicate physical maltreatment, although it warrants further assessment and documentation.
Correct Answer is A
Explanation
Rationale:
A) Pertussis is spread via respiratory droplets, so droplet precautions should be initiated.
B) Contact precautions are used for diseases transmitted by direct contact with the patient or their environment, not for pertussis.
C) Airborne precautions are used for diseases transmitted by airborne particles, such as tuberculosis or measles, not for pertussis.
D) Protective precautions are not a standard precaution type; they involve protecting immunocompromised patients from acquiring infections.
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