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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Ibuprofen is not the first step in medication therapy for OA. It can be used for pain relief but is not recommended during pregnancy.
Choice B rationale:
Restricting all physical activity is not recommended. Moderate exercise can help maintain joint flexibility and strength.
Choice C rationale:
Pregnancy can impact OA due to weight gain and hormonal changes. However, keeping weight gain within recommended limits can help manage symptoms.
Choice D rationale:
Pain from OA may increase due to pregnancy weight gain. This is an important point to include in teaching.
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.
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