Patient Data
A nurse in a provider's office is collecting data from a client who was discharged from the facility 7 days ago following treatment for a deep- vein thrombosis. Which of the following findings is the nurse's priority? (Click on the "Exhibit" button for additional Information about the client There are three tabs that contain separate categories of 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
None
None
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. Providing a tour of the perioperative area prior to surgery helps familiarize the adolescent with the environment, reducing anxiety and promoting a sense of control over the situation.
B. Explaining that anesthesia is a special type of sleep is oversimplifying and may not provide the adolescent with a clear understanding of the procedure. It's important to provide accurate information at a developmentally appropriate level.
C. Waiting until after surgery to explain the importance of coughing and deep breathing misses an opportunity for preoperative education. Teaching about postoperative care beforehand allows the adolescent to understand and participate in their own recovery process.
D. Keeping medical equipment out of the client's sight may reduce anxiety, but it does not address the adolescent's need for preparation and education about the surgical experience.
Correct Answer is A
Explanation
A. Correct. Ampicillin is a penicillin antibiotic and is contraindicated in clients who are allergic to penicillin.
B. Incorrect. Erythromycin is not a penicillin antibiotic and can be an alternative for clients allergic to penicillin.
C. Incorrect. Cefazolin is a cephalosporin antibiotic and is not related to penicillin. It can be used as an alternative in clients allergic to penicillin.
D. Incorrect. Clindamycin is not related to penicillin and can be used as an alternative in clients allergic to penicillin.
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