A nurse is caring for a female client with rheumatoid arthritis, the client asks the nurse if it is safe to take aspirin. The nurse should recognize which of the following contraindications is of most concern?.

Reports of inflammation in the joints.

Joint pain that is not relieved with rest.

Report of recent headache.

Report of bloody stools.

Answer and Explanation

The Correct Answer is D

Choice A rationale:
While inflammation in the joints is a symptom of rheumatoid arthritis, it is not a contraindication for taking aspirin.
Choice B rationale:
Joint pain that is not relieved with rest is a common symptom of rheumatoid arthritis, but it is not a contraindication for taking aspirin.
Choice C rationale:
A recent headache is not a contraindication for taking aspirin. In fact, aspirin is often used to relieve headaches.
Choice D rationale:
Bloody stools can be a sign of gastrointestinal bleeding, which can be exacerbated by aspirin use due to its blood-thinning properties.

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Correct Answer is C

Explanation

Choice A rationale:
Holding an object close to the body can help distribute the weight evenly and reduce strain on the joints, which is beneficial for someone with Rheumatoid arthritis.
Choice B rationale:
Using larger muscle groups like the arms and legs can help reduce the strain on smaller, more sensitive joints.
Choice C rationale:
Carrying a laundry basket with the tips of the fingers can put unnecessary strain on the finger joints, which can exacerbate symptoms of Rheumatoid arthritis.
Choice D rationale:
Bending at the knees, rather than the waist, can help protect the back and maintain balance when picking up an item from the floor.

A. "Take the medication on an empty stomach.”. B. "Take aspirin in conjunction with this medication.”. C. "Crush the medication before taking it.”. D. "Drink 2 liters of fluid each day while taking the medication.”. .

Correct Answer is D

Explanation

Choice A rationale:
While it’s generally recommended to take medication with food to prevent stomach upset, allopurinol does not need to be taken on an empty stomach.
Choice B rationale:
Aspirin can increase the risk of bleeding, and since allopurinol can occasionally cause blood disorders, it’s not recommended to take these two medications together without medical advice.
Choice C rationale:
Allopurinol tablets should not be crushed. They should be swallowed whole with a glass of water.
Choice D rationale:
Drinking plenty of fluids while taking allopurinol can help prevent the formation of kidney stones, a potential side effect of the medication.

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A nurse is caring for a female client with rheumatoid arthritis, the client asks the nurse if it is safe to take aspirin. The nurse should recognize which of the following contraindications is of most concern?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing discharge teaching for a client who has been recently diagnosed with Rheumatoid arthritis. Which of the statements made by the client would indicate the need for further teaching?.

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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