A staff education nurse is evaluating a group of nurses during a new employee orientation on the use of proper body mechanics when lifting. Which of the following images indicates the appropriate use of ergonomic principles?

 

A. Aspirin: Aspirin is a nonsteroidal anti-inflammatory drug (NSAID) that can irritate the gastric mucosa and increase the risk of gastrointestinal bleeding. It is contraindicated in clients with a history of peptic ulcer disease.

B. Ketorolac: Ketorolac is a very potent Non-Steroidal Anti-Inflammatory Drug (NSAID) usually given IV or IM. It carries a high risk of GI ulceration and perforation and is contraindicated in clients with active PUD or a high risk of GI bleeding.

C. Acetaminophen: Acetaminophen provides analgesic and antipyretic effects without significant gastrointestinal irritation. It is safe for clients with peptic ulcer disease, making it the preferred choice for headache management in this context.

D. Ibuprofen: Ibuprofen, like other NSAIDs, can exacerbate peptic ulcer disease by inhibiting prostaglandin synthesis and increasing the risk of GI bleeding, so it should be avoided in clients with a history of ulcers.

A. "This medication can cause nausea and drowsiness.": Gastrointestinal upset, including nausea, and central nervous system effects such as drowsiness or mild tremor are common early adverse effects of lithium. Clients should be monitored for symptom severity and reassured that these effects often diminish over time.

B. "You will be placed on a low-sodium diet while taking this medication": Lithium excretion is highly dependent on sodium levels; however, clients are advised to maintain a consistent, adequate sodium intake rather than restricting sodium. A low-sodium diet can increase lithium retention and risk toxicity.

C. "It will take at least a week before this medication reaches a therapeutic level.": Lithium requires several days to reach a steady-state concentration in the blood. Clients and caregivers should understand that therapeutic effects on mood stabilization may not be immediate, and monitoring serum levels is necessary.

D. "This medication can cause weight gain.": Weight gain is a recognized long-term adverse effect of lithium therapy, likely related to metabolic changes and fluid retention. Clients should be counseled on healthy diet and activity to help mitigate this effect.

E. "Blurred vision is an expected adverse effect of this medication": Blurred vision is not an expected or common side effect of lithium. If it occurs, it may indicate toxicity or another ophthalmologic issue, requiring immediate evaluation.