A nurse is caring for a client who is to start therapy with ibuprofen for hip pain. Which of the following information should the nurse provide about ibuprofen?

Taking the maximum dose will offer stroke prevention.

Take the medication with an aspirin to increase effectiveness.

Sustained-release forms may be crushed for easier administration.

Take the medication with food.

Answer and Explanation

The Correct Answer is D

A. Taking the maximum dose will offer stroke prevention. Ibuprofen does not have stroke-preventive properties. In fact, excessive NSAID use may increase cardiovascular risks.

B. Take the medication with an aspirin to increase effectiveness. Combining ibuprofen with aspirin is not recommended as it increases the risk of gastrointestinal bleeding and does not enhance ibuprofen's effectiveness.

C. Sustained-release forms may be crushed for easier administration. Crushing sustained-release tablets alters their formulation, leading to rapid release and increased risk of side effects. Sustained-release forms should never be crushed.

D. Take the medication with food. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can cause gastrointestinal irritation and ulceration. Taking it with food helps minimize gastric upset.

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Correct Answer is ["B","C","D","E"]

Explanation

A. Place throw rugs and carpets throughout the home to add comfort and warmth: Throw rugs and carpets can increase the risk of falls, especially for clients with vision impairments. They should be avoided.

B. Ensure that all electrical cords and wires are secured against walls and out of walkways: Preventing tripping hazards is critical for a client with vision impairment.

C. Install bright, overhead lighting in every room and hallway to improve visibility: Adequate lighting is essential for clients with glaucoma to help them navigate safely.

D. Encourage the client to use a walking stick or guide dog when moving around the home: This enhances mobility and safety for clients with decreased vision by providing support and guidance.

E. Label kitchen cabinets and drawers with large-print, high-contrast labels: This helps the client identify items more easily and reduces the risk of injury or confusion.

A. Asking the client to rate the pain B. Having the client perform range-of-motion of the affected arm C. Monitoring the client's pulse rate D. Inspecting the site for reduced swelling

Correct Answer is A

Explanation

A. Asking the client to rate the pain: Pain rating provides a subjective measure of the intervention’s effectiveness in reducing discomfort.

B. Having the client perform range-of-motion of the affected arm: This assessment is not specific to determining the effectiveness of cold therapy; it is more related to mobility or rehabilitation.

C. Monitoring the client's pulse rate: While pain can affect pulse rate, this is an indirect and nonspecific measure of pain or swelling reduction.

D. Inspecting the site for reduced swelling: Swelling reduction can be an indicator of decreased inflammation, but it does not provide a direct assessment of the client’s pain levels.

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A nurse is caring for a client who is to start therapy with ibuprofen for hip pain. Which of the following information should the nurse provide about ibuprofen?

Nursing Test Bank

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