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"]

Explanation

A. "You should avoid using the PCA system if you feel that the pain is manageable without medication." This is misleading as the PCA system is intended for effective pain control; clients are encouraged to use it before pain becomes severe.

B. "The PCA system is designed with safety features to prevent you from receiving too much medication." This reassures clients about the system's safety features, such as lockout mechanisms that prevent overdose.

C. "The PCA system is programmed to deliver a specific dose of medication each time you press the button." This explains how the device is pre-programmed by healthcare providers to deliver a safe, therapeutic dose.

D. "You will be able to administer pain medication to yourself by pressing the PCA button whenever you need it." This empowers the client to take control of their pain management within the limits set by the PCA system.

E. "Family members should press the PCA button for you if you are unable to do so yourself." This is unsafe. Only the client should press the PCA button to avoid overmedication or dosing errors.

A. "I will review my actions at the end of the day in the team huddle." B. "I should treat all patients the same way to avoid favoritism and ensure fairness." C. "I will reflect on my responses and thoughts when meeting new clients." D. "I believe that my professional training is sufficient, so personal biases will not affect my care."

Correct Answer is C

Explanation

A. "I will review my actions at the end of the day in the team huddle.": While team reflection is valuable, addressing personal biases requires individual introspection beyond group discussions.

B. "I should treat all patients the same way to avoid favoritism and ensure fairness.": Treating all patients identically may overlook individual needs and perpetuate bias by failing to address unique vulnerabilities.

C. "I will reflect on my responses and thoughts when meeting new clients." Self-reflection is a key strategy for identifying and addressing personal biases, ensuring that care is equitable and patient-centered.

D. "I believe that my professional training is sufficient, so personal biases will not affect my care.": Professional training does not automatically eliminate personal biases. Active reflection is necessary.

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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

Naxlex Comprehensive Predictor Exams

A nurse is providing preoperative teaching to a client about pain management using a patient-controlled analgesia (PCA) system. Which of the following three statements should the nurse include in the teaching? (Select all that apply.)

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

Explanation

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Correct Answer is C

Explanation

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