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 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.

A. Extreme nausea. B. Pruritus. C. Diarrhea. D. Blurry vision.

Correct Answer is D

Explanation

Choice A rationale:
Extreme nausea is a common side effect of hydroxychloroquine, but it’s not the most concerning.
Choice B rationale:
Pruritus is a possible side effect of hydroxychloroquine, but it’s not the most concerning.
Choice C rationale:
Diarrhea is a common side effect of hydroxychloroquine, but it’s not the most concerning.
Choice D rationale:
Blurry vision is a serious side effect of hydroxychloroquine and can indicate retinal damage.

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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

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Correct Answer is D

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