A nurse is admitting a client who has arthritic pain and reports taking ibuprofen several times daily for 3 years. Which of the following tests should the nurse monitor?

Stool for occult blood

Fasting blood glucose

Serum calcium

Urine for white blood cells

Answer and Explanation

The Correct Answer is A

A.   Monitoring for occult blood in the stool is essential because long-term use of nonsteroidal anti- inflammatory drugs (NSAIDs) like ibuprofen can increase the risk of gastrointestinal bleeding and ulceration. Occult blood in the stool may indicate gastrointestinal bleeding, which can be a serious complication of chronic NSAID use.
B.   While NSAIDs like ibuprofen can affect renal function and increase the risk of kidney damage, they are not directly associated with alterations in blood glucose levels.
C.   Ibuprofen use is not typically associated with alterations in serum calcium levels
D.   While monitoring urine for white blood cells may be relevant in the context of renal injury, it is not as specific or sensitive as other tests such as urinalysis or renal function tests.

Nursing Test Bank

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Correct Answer is C

Explanation

A. This position may help alleviate dyspnea by promoting better lung expansion. However, it does not address the underlying issue of fluid overload or the need for urgent action. While helpful for comfort, this action alone is insufficient.
B. Switching the IV fluid to lactated Ringer's solution does not address the issue of fluid overload and is likely to worsen the situation.
C. Slowing the infusion can help mitigate further fluid overload, and contacting the provider is crucial for further evaluation and intervention. This option prioritizes the client’s safety and addresses the symptoms being experienced.
D. Corticosteroids are not typically used to address dyspnea and hypertension associated with IV fluid administration.

A. Use an elevated toilet seat. B. Log roll the client onto the operative side. C. Keep client's affected heel on the bed. D. Perform internal and external rotation exercises of hip.

Correct Answer is A

Explanation

A. Use an elevated toilet seat: Using an elevated toilet seat can help prevent excessive bending of the hip joint, reducing strain and potential dislocation risk after total hip replacement surgery.
B. Log rolling onto the operative side is contraindicated after total hip replacement surgery. This movement could place excessive stress on the newly replaced hip joint, increasing the risk of dislocation and complications.
C. Keeping the affected heel on the bed helps maintain proper alignment and precautions after total hip replacement surgery. It supports the hip joint and reduces the risk of dislocation by preventing excessive rotation or movement.
D. While some hip exercises are beneficial, internal and external rotation exercises are typically avoided immediately after total hip replacement surgery to prevent strain on the new joint.

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A nurse is admitting a client who has arthritic pain and reports taking ibuprofen several times daily for 3 years. Which of the following tests should the nurse monitor?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is receiving a 0.9% sodium chloride via IV infusion. The client has become dyspneic with a blood pressure of 140/100 mm Hg, a fluid intake of 960 mL, and an output of 300 mL in the past 12 hr. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is caring for a client after total hip replacement surgery. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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