A nurse is reinforcing teaching with a client who has rheumatoid arthritis. Which of the following statements by the client indicates understanding of the information?

I will schedule important tasks in the afternoon.

I need to perform range-of-motion of my joints if I notice they are red.

I should stop exercising if 1 experience any discomfort.

I can use heat or cold to help relieve my pain

Answer and Explanation

The Correct Answer is D

A.   Scheduling important tasks in the afternoon is a good strategy for managing fatigue, it does not directly address pain relief.
B.   Performing range-of-motion if joints are red may exacerbate inflammation and is not a recommended practice.
C.   Stopping exercising if experiencing discomfort is essential to differentiate between normal discomfort and pain that may indicate potential harm. Continuing with mild discomfort may be appropriate.
D.   Both heat and cold applications can provide relief from rheumatoid arthritis pain and inflammation.

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Correct Answer is ["2"]

Explanation

To answer the question, the nurse should first calculate the dose of ondansetron in mL. The formula is:

Dose (mL) = Ordered dose (mg) / Available dose (mg/mL)

Plugging in the values, we get:

Dose (mL) = 4 mg / 2 mg/mL

Dose (mL) = 2 mL

A. Instruct client to use an incentive spirometer every 4 hr. B. Place the client in a room with negative-pressure airflow. C. Serve cooked fruit with meals. D. Report temperatures greater than 39.5 C (102.3 F lasting more than 4 hr.)

Correct Answer is D

Explanation

A. The use of an incentive spirometer is more relevant for preventing respiratory complications, not related to the client's low WBC count.
B. Negative-pressure airflow rooms are typically used for clients with airborne infections, not those with low WBC counts.
C. Cooked fruits may be advisable to reduce the risk of bacterial contamination in immunosuppressed clients, but it does not directly address the low WBC count.
D. Reporting temperatures greater than 39.5°C (102.3°F) lasting more than 4 hours is crucial as it may indicate an infection, and prompt intervention is needed in immunosuppressed clients.

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A nurse is reinforcing teaching with a client who has rheumatoid arthritis. Which of the following statements by the client indicates understanding of the information?

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer ondansetron 4 mg IM stat. The amount available is ondansetron for injection 2 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["2"]

Explanation

A nurse is contributing to the plan of care for an older adult client who has a WBC of 2000/mm3 after three rounds of chemotherapy. Which of the following interventions should the nurse include in the plan?

Correct Answer is D

Explanation

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