A nurse is teaching a client who has a new diagnosis of acute bursitis in her right shoulder. Which of the following self-care strategies should the nurse recommend?

Elevation of the right arm

Intermittent ice and heat

Corticosteroid therapy

Range-of-motion exercises

Answer and Explanation

The Correct Answer is B

A. Elevation of the right arm is not a primary treatment for bursitis; it is more commonly used for edema control.

B. Intermittent ice and heat helps reduce inflammation and pain associated with acute bursitis.

C. Corticosteroid therapy is a treatment option but may not be the first-line self-care strategy for acute bursitis without further evaluation by a provider.

D. Range-of-motion exercises should be avoided during acute inflammation, as it may exacerbate the condition.

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Correct Answer is C

Explanation

A. Tachypnea is not a primary sign of increased intracranial pressure but might be seen in other conditions.

B. Bilateral weakness of extremities can indicate severe brain injury but is not the most specific sign of increased intracranial pressure.

C. Decreased level of consciousness is a direct sign of increased intracranial pressure affecting brain function.

D. Hypotension is not a typical manifestation of increased intracranial pressure; increased ICP more commonly leads to hypertension.

A. The client has a paralytic ileus. B. The client is experiencing a myocardial infarction. C. The client who has bronchitis pleurisy. D. The client who is 24 hr postoperative following hip arthroplasty.

Correct Answer is A

Explanation

A. The client has a paralytic ileus is correct. Morphine can cause decreased gastrointestinal motility, which can exacerbate a paralytic ileus.

B. The client is experiencing a myocardial infarction is incorrect. Morphine is commonly used to manage pain and reduce myocardial oxygen demand during a myocardial infarction.

C. The client who has bronchitis pleurisy is incorrect. Morphine can be used for pain control in pleurisy, but it is not contraindicated.

D. The client who is 24 hr postoperative following hip arthroplasty is incorrect. Morphine is used for postoperative pain management.

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A nurse is teaching a client who has a new diagnosis of acute bursitis in her right shoulder. Which of the following self-care strategies should the nurse recommend?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has sustained a traumatic brain injury. The nurse should monitor the client for which of the following manifestations of increased intracranial pressure?

Correct Answer is C

Explanation

A nurse is reviewing the medication administration records of four clients who have a prescription for morphine PRN. Which of the following findings should the nurse identify as a contraindication to this medication?

Correct Answer is A

Explanation

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