The nurse is caring for a client who reports running out of aspirin one week ago and taking ibuprofen as a replacement. Which information should the nurse obtain from the client first?

Reason for taking the aspirin.

Presence of gastric pain.

Amount of pain control.

Dosage of ibuprofen taken.

Answer and Explanation

The Correct Answer is A

Choice A reason: Understanding the reason for taking the aspirin is crucial because aspirin may be prescribed for various reasons, such as pain relief, anti-inflammatory purposes, or cardiovascular protection. Knowing the reason helps the nurse assess if ibuprofen is a suitable substitute or if additional interventions are needed.

Choice B reason: While the presence of gastric pain is important, it is secondary to understanding the underlying reason for aspirin use.

Choice C reason: Assessing the amount of pain control achieved with ibuprofen is important for managing the client's symptoms, but it is not the first priority.

Choice D reason: Knowing the dosage of ibuprofen taken is essential for determining if the client is taking an appropriate amount, but it comes after understanding the initial indication for aspirin use.

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Correct Answer is D

Explanation

Choice A reason: Turning every 2 hours is important for preventing pressure ulcers but is not the primary concern for a client with severe ulcerative colitis and recent surgery.

Choice B reason: Recording wound drainage is necessary but not the most critical intervention compared to fluid balance.

Choice C reason: Assessing skin condition is important but secondary to maintaining fluid balance in a critically ill client.

Choice D reason: Replacing fluids based on intake and output is crucial to manage dehydration and electrolyte imbalances, which are common in clients with severe ulcerative colitis.

A. Only children with perianal itching should take the medication. B. A second dose of medication should be given in two weeks. C. It is safe for children of all ages to take this medication. D. Insert the medication as a rectal suppository.

Correct Answer is B

Explanation

Choice A reason: Pinworm infections can be asymptomatic, so treatment is recommended even in the absence of symptoms to prevent spread.

Choice B reason: A second dose of mebendazole is often recommended two weeks after the initial dose to ensure all pinworms are eliminated, including newly hatched ones.

Choice C reason: Mebendazole is not recommended for children under two years of age without medical advice.

Choice D reason: Mebendazole is typically administered orally, not as a rectal suppository.

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The nurse is caring for a client who reports running out of aspirin one week ago and taking ibuprofen as a replacement. Which information should the nurse obtain from the client first?

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