A nurse is reinforcing teaching with a client who has osteoarthritis and is taking acetaminophen for pain management. Which of the following statements should the nurse include in the teaching?

Apply an ice pack to painful joints for 20 minutes, 3 times a day.

Take a dose of aspirin on days when you have more pain.

Increase your water intake to 2 liters per day.

Participate in high impact aerobics to increase joint mobility.

Answer and Explanation

The Correct Answer is C

Choice A rationale
Applying an ice pack to painful joints can help reduce inflammation and numb the area, providing temporary pain relief. However, it is not a recommended long-term strategy for managing osteoarthritis pain. Heat therapy is often more effective for chronic pain associated with osteoarthritis.
Choice B rationale
Taking aspirin on days with more pain is not recommended for osteoarthritis management. Aspirin is an NSAID and can cause gastrointestinal side effects with long-term use.
Acetaminophen is preferred for managing osteoarthritis pain due to its lower risk of side effects.
Choice C rationale
Increasing water intake to 2 liters per day is beneficial for overall health and can help maintain joint lubrication. Proper hydration is important for joint health and can help reduce the risk of further joint damage.
Choice D rationale
High-impact aerobics are not recommended for individuals with osteoarthritis as they can exacerbate joint pain and damage. Low-impact exercises such as swimming, cycling, and walking are better options for maintaining joint mobility and reducing pain.

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Correct Answer is A

Explanation

Choice A rationale
Elevated creatinine is a common finding in clients with chronic kidney disease due to decreased renal function and impaired clearance of creatinine from the blood.
Choice B rationale
Decreased urine specific gravity is not typically associated with chronic kidney disease. Clients with chronic kidney disease may have an increased or normal urine specific gravity.
Choice C rationale
Hypokalemia is not a typical finding in chronic kidney disease. Clients with chronic kidney disease are more likely to have hyperkalemia due to impaired renal excretion of potassium.
Choice D rationale
Decreased BUN (blood urea nitrogen) is not expected in chronic kidney disease. Elevated BUN levels are more common due to reduced renal clearance of urea.

A. Drinking more fluid will prevent your urine from becoming brown. B. Brown-colored urine is a harmless side effect of the medication. C. The provider will change your medication because your infection is not resolving with nitrofurantoin. D. An increase of RBC destruction in your blood can result in brown-colored urine.

Correct Answer is B

Explanation

Choice A rationale
Drinking more fluid can help dilute the urine but will not prevent it from becoming brown due to the medication.
Choice B rationale
Brown-colored urine is a known harmless side effect of nitrofurantoin. It is due to the medication itself and does not indicate any harm or need for a change in treatment.
Choice C rationale
Changing the medication is not necessary unless there are other signs that the infection is not resolving. Brown-colored urine alone is not an indication of treatment failure.
Choice D rationale
An increase in RBC destruction can cause brown urine, but this is not the case with nitrofurantoin. The brown color is due to the medication and not due to RBC destruction.

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A nurse is reinforcing teaching with a client who has osteoarthritis and is taking acetaminophen for pain management. Which of the following statements should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the laboratory results for a client who has chronic kidney disease. Which of the following laboratory findings should the nurse expect?

Correct Answer is A

Explanation

A client who is taking nitrofurantoin for a urinary tract infection voices a concern to the clinic nurse about voiding brown-colored urine. Which of the following is an appropriate response by the nurse?

Correct Answer is B

Explanation

A nurse is caring for a client who is scheduled for a blood sampling for a serum creatinine level. The client asks the nurse, “What is the purpose of this test?” Which of the following responses should the nurse give?

A nurse is preparing to administer levothyroxine 275 mcg PO to a client. The amount available is levothyroxine 137 mcg/tablet. How many tablets should the nurse administer? (Round to the nearest whole number. Use a leading zero if it applies. (Do not use a trailing zero)

A nurse is collecting data from a client whose arterial blood gas values reveal a pH of 7.24, PaCO₂ of 53, and an HCO₃ of 24. The nurse should prepare to treat the client for which of the following acid-base imbalances?

A nurse is reinforcing teaching with a client who has gastroesophageal reflux disease (GERD) about minimizing the effects of reflux during sleep. Which of the following client statements indicates an understanding of the teaching?

A nurse is collecting data on a client who is postoperative following a transurethral resection of the prostate (TURP). The nurse should recognize which of the following findings is the priority?

A nurse is reinforcing teaching with a client who has recurrent urinary tract infections (UTIs) about prevention measures. Which of the following client statements indicates the need for further teaching?

A nurse is reinforcing nutrition teaching for a client who has chronic kidney disease about limiting foods high in potassium. Which of the following foods should the nurse instruct the client to avoid? (Select all that apply.)

A nurse is assessing an older adult client who has a urinary tract infection (UTI). Which of the following findings should the nurse identify as unique for this age group?