A nurse is reinforcing teaching with a client who is to start taking enteric-coated naproxen for rheumatoid arthritis. Which of the following client statements by the client indicates a need for further teaching?

“I can take these pills with my meals.”

“It’s okay to crush a tablet as long as I make sure it dissolves completely in water before swallowing it.”

“I am taking this type of medication so it dissolves in my intestine, not my stomach.”

“I might not get relief from my pain for 3 to 4 weeks.”

Answer and Explanation

The Correct Answer is B

Rationale for A: Taking enteric-coated pills with meals is generally acceptable as food does not affect the integrity of the enteric coating. The coating is designed to withstand the acidic environment of the stomach and dissolve in the more neutral pH of the intestine.
Rationale for B: Enteric-coated tablets should not be crushed as this destroys the coating designed to protect the stomach lining from the medication's potentially irritating effects, ensuring the medication is released in the intestine.
Rationale for C: This statement is correct; enteric-coated medications are formulated to bypass the stomach and dissolve in the intestine, which can help minimize gastric side effects and irritation.
Rationale for D: It is common for anti-inflammatory medications like naproxen to take several weeks to reach full efficacy. This statement reflects a correct understanding of the medication's expected onset of action.

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Correct Answer is A

Explanation

a. Increasing dyspnea: Atelectasis is the collapse of alveoli, leading to decreased lung volume and impaired gas exchange. Dyspnea (difficulty breathing) is a common symptom as the lung's ability to oxygenate the blood is compromised.

b. Dry cough: A dry cough may be present, but it is not specific to atelectasis. It can occur for various reasons postoperatively.

c. Facial flushing: Facial flushing is not a typical finding in atelectasis. It is more commonly associated with conditions such as fever or allergic reactions.

d. Decreasing respiratory rate: Atelectasis can lead to increased respiratory rate as the body tries to compensate for decreased lung function. A decreasing respiratory rate would be less likely in the presence of atelectasis.

A. Circular, erythematous patches on the scalp. B. Recent exposure to poison ivy. C. Scaling and redness between the toes. D. A recent prescription for an antiseizure medication.

Correct Answer is C

Explanation

a. Circular, erythematous patches on the scalp: This description is more indicative of tinea capitis, a fungal infection affecting the scalp.

b. Recent exposure to poison ivy: Poison ivy exposure would result in a contact dermatitis rash, not tinea pedis.

c. Scaling and redness between the toes: Tinea pedis, also known as athlete's foot, commonly presents with scaling, redness, and itching between the toes.

d. A recent prescription for an antiseizure medication: Antiseizure medications are not associated with the development of tinea pedis.

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A nurse is reinforcing teaching with a client who is to start taking enteric-coated naproxen for rheumatoid arthritis. Which of the following client statements by the client indicates a need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is postoperative and has developed atelectasis. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

A nurse in a provider’s office is caring for a client who has tinea pedis. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

A nurse is assisting with collecting data on a client who is on a continuous ECG monitor. The client's ECG tracing shows no identifiable P waves and an irregular ventricular rate. The nurseshould recognize the client is experiencing which of the following cardiac dysrhythmias?

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