Which instruction should a nurse include in the teaching plan for a client receiving non-steroidal anti-inflammatory drugs (NSAIDS) for the treatment of rheumatoid arthritis?
Use aspirin to relieve other types of pain.
Control of inflammation can take up to two weeks.
Take the medication on an empty stomach to increase drug absorption.
Take the medication after exercising to prevent progression of disease.
The Correct Answer is B
This is because non-steroidal anti-inflammatory drugs (NSAIDs) are medicines that are used to treat rheumatoid arthritis by reducing pain, inflammation, and swelling.
However, NSAIDs do not slow down the disease progression or prevent joint
damage. Therefore, they are often used along with other types of medications, such as methotrexate or biologics, that can modify the disease course. NSAIDs may take up to two weeks to reach their full anti-inflammatory effect.
Choice A is wrong because using aspirin to relieve other types of pain can increase the risk of bleeding and stomach ulcers when taken with NSAIDs.
Choice C is wrong because taking the medication on an empty stomach can increase the risk of stomach irritation and ulcers.
Choice D is wrong because taking the medication after exercising does not prevent the progression of disease or joint damage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A back massage is a type of cutaneous stimulation that can help reduce pain by activating the gate control theory of pain. Cutaneous stimulation is a non-pharmacological intervention that can be delegated to unlicensed assistive personnel (UAP) or nursing assistive personnel (NAP) under the supervision of a registered nurse.
Choice A is wrong because assessing pain status requires critical thinking and clinical judgment, which are skills that only registered nurses have. Pain assessment is not a task that can be delegated to UAP/NAP.
Choice B is wrong because administering a placebo is a type of pharmacological intervention that involves giving a substance that has no therapeutic effect. Placebos are unethical and ineffective for pain management and should not be used by any health care provider.
Choice C is wrong because reviewing a pain diary involves evaluating the patient’s response to pain interventions and adjusting the plan of care accordingly. This is a complex task that requires nursing knowledge and skills and cannot be delegated to UAP/NAP.
Correct Answer is ["B","C","D"]
Explanation
These are some of the common symptoms of hypothyroidism, which is a condition where the thyroid gland does not produce enough thyroid hormones. Thyroid hormones regulate the body’s metabolism, temperature and heart rate.
Choice A is wrong because a pulse of 126 is too high for hypothyroidism. Hypothyroidism usually causes a slow heart rate (bradycardia), not a fast one (tachycardia). A normal resting pulse rate for adults is between 60 and 100 beats per minute.
Choice E is wrong because a pulse of 54 is within the normal range for
hypothyroidism. Hypothyroidism can cause a pulse rate lower than 60 beats per minute, but this is not always abnormal. Some people, such as athletes, may have a lower resting pulse rate due to their fitness level.
The normal ranges for thyroid function tests are:
- Thyroid-stimulating hormone (TSH): 0.4 to 4.0 milli-international units per liter (mIU/L).
- Free thyroxine (T4): 0.8 to 2.8 nanograms per deciliter (ng/dL).
- Total triiodothyronine (T3): 80 to 220 ng/dL.
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