Patient Data
The client takes ibuprofen daily to treat musculoskeletal pain.
The client depends on friends for transportation to the clinic.
The client has difficulty applying their compression stockings
The client consumes 15 g of fiber daily
The Correct Answer is A
A: Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can increase the risk of bleeding, especially when taken regularly. Given that the client is on warfarin, a blood thinner used to prevent new clots from forming and existing clots from growing larger, the use of ibuprofen could interfere with its effectiveness and increase the risk of a bleeding event. This is a priority concern for a patient with a history of deep-vein thrombosis. B: While transportation is important for the client to receive care, it does not pose an immediate risk to the client's health compared to the potential interaction between ibuprofen and warfarin.
C: Difficulty with applying compression stockings can contribute to discomfort and noncompliance with treatment, which can impede recovery. However, this does not present an immediate risk as significant as the potential drug interaction.
D: Consuming 15 g of fiber daily is generally a positive health behavior and does not present a direct risk to the client's health in the context of deep-vein thrombosis and the current medications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Name and medical record number: This information is unique to each individual and is used to accurately identify patients in healthcare settings, including newborns.
B. Birth date and mother's name: While important for identification, this information alone may not be sufficient to accurately identify a newborn, especially in situations where there may be multiple newborns with similar birth dates or mothers with the same name.
C. Age and diagnosis: Age and diagnosis are important clinical information but are not typically used as primary identifiers for medication administration.
D. Footprints and identification number: While footprints and identification numbers may be used as supplemental identifiers, they are not as reliable or commonly used as name and medical record number for medication administration.
Correct Answer is A
Explanation
A. Hemoglobin (Hgb) level of 20 g/dL is significantly elevated and could indicate polycythemia, which is a common complication of COPD. Polycythemia can lead to increased blood viscosity and thrombotic events, such as stroke or myocardial infarction. Therefore, this finding requires immediate attention and further evaluation.
B. Oxygen saturation of 925% is not physiologically possible and is likely an erroneous reading. However, this extreme value is unlikely to represent a clinically significant issue. It may be a result of equipment malfunction or improper calibration.
C. A productive cough with green sputum is a common symptom in patients with COPD, often indicative of a respiratory infection. While it warrants monitoring and may require treatment, it is not as immediately concerning as other findings.
D. Chest x-ray showing hyperinflation of the lungs is a characteristic finding in COPD and is expected in patients with this condition. While it confirms the diagnosis and may indicate disease severity, it does not represent an acute change that requires immediate intervention.
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