The nurse is caring for a client who takes aspirin three times daily. Which of the following is a potential side effect of daily aspirin intake?

Headache

Muscle pain

Increased appetite

Gastrointestinal bleeding

Answer and Explanation

The Correct Answer is D

Choice A rationale
While headaches can be a side effect of many medications, they are not typically associated with daily aspirin intake.
Choice B rationale

Muscle pain is not a common side effect of daily aspirin intake. It may be associated with conditions such as fibromyalgia or side effects of other medications.
Choice C rationale
Increased appetite is not a known side effect of daily aspirin intake.
Choice D rationale
Gastrointestinal bleeding is a well-known potential side effect of daily aspirin intake. Aspirin can irritate the stomach lining, leading to ulcers and bleeding.

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Correct Answer is D

Explanation

Choice A rationale
It is normal to have a sore throat following an EGD procedure. The endoscope is passed down the throat, which can cause temporary discomfort.
Choice B rationale
Patients do need someone to drive them home after an EGD. The sedatives used during the procedure can impair their ability to drive safely.
Choice C rationale
Patients will be left side-lying with the head of the bed elevated during the procedure. This position helps to prevent aspiration.
Choice D rationale
Patients cannot drink immediately after the procedure. They must wait until their gag reflex has returned, which can take a few hours.

A. Instruct the client to use a pursed-lip breathing technique. B. Increase the oxygen flow to 3L/min. C. Have the client cough and expectorate secretions. D. Evaluate the client’s respiratory status. E. Leaving a night light on can help prevent falls by providing visibility during the night. This statement does not indicate a need for further instruction.

Correct Answer is D

Explanation

Choice A rationale
Pursed-lip breathing can help improve oxygenation and reduce shortness of breath in clients with COPD. However, it is not the priority action when a client reports difficulty breathing.
Choice B rationale
Increasing the oxygen flow rate without a physician’s order can lead to oxygen toxicity or suppress the respiratory drive in clients with COPD. Therefore, this is not the priority action.
Choice C rationale
Coughing and expectorating secretions can help clear the airways, but it is not the priority action when a client reports difficulty breathing.

Choice D rationale
Evaluating the client’s respiratory status is the priority action. The nurse should assess the client’s breath sounds, respiratory rate, use of accessory muscles, and oxygen saturation to determine the severity of the client’s difficulty breathing and guide further interventions.

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The nurse is caring for a client who takes aspirin three times daily. Which of the following is a potential side effect of daily aspirin intake?

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Naxlex Comprehensive Predictor Exams

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