other questions for exam 4

when developing a teaching plan for a client who is prescribed acetaminophen for muscle pain, which information should the nurse expect to include? select all that apply. 1 the drug can be used if the person is allergic to aspirin 2 acetaminophen does not affect platelet aggregation 3 this drug causes little or no gastric distress. 4 acetaminophen exerts a strong anti-inflammatory effect 5 the client should have the internal normalized ratio INR checked regularly.

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A client with osteoporosis needs education about diet and ways to increase bone density. Which of the following should be included in the teaching plan? Select all that apply. 1. Maintain a diet with adequate amounts of vitamin D, as found in fortified milk and cereals. 2. Choose good calcium sources, such as figs, broccoli, and almonds. 3. Use alcohol in moderation because a moderate intake has no known negative effects. 4. Try swimming as a good exercise to maintain bone mass. 5. Avoid the use of high-fat foods, such as avocados, salad dressings, and fried foods.

1, 2, 3. A diet with adequate amounts of vitamin D aids in the regulation, absorption, and subsequent utilization of calcium and phosphorus, which are necessary for the normal calcification of bone. Figs, broccoli, and almonds are very good sources of calcium. Moderate intake of alcohol has no known negative effects on bone density but excessive alcohol intake does reduce bone density. Swimming, biking, and other non- weight-bearing exercises do not maintain bone mass. Walking and running, which are weight-bearing exercises, do maintain bone mass. The client should eat a balanced diet but does not need to avoid the use of high-fat foods.

Which of the following statements should the nurse include in the teaching session when preparing a client for arthrocentesis? Select all that apply. 1. "A local anesthetic agent may be injected into the joint site for your comfort." 2. "A syringe and needle will be used to withdraw fluid from your joint." 3. "The procedure, although not painful, will provide immediate relief." 4. "We'll want you to keep your joint active after the procedure to increase blood flow." 5. "You will need to wear a compression bandage for several days after the procedure."

1, 2, 5. An arthrocentesis is performed to aspirate excess synovial fluid, pus, or blood from a joint cavity to relieve pain or to diagnosis inflammatory diseases such as rheumatoid arthritis. A local agent may be used to decrease the pain of the needle insertion through the skin and into the joint cavity. Aspiration of the fluid into the syringe can be very painful because of the size and inflammation of the joint. Usually a steroid medication is injected locally to alleviate the inflammation; a compression bandage is applied to help decrease swelling; and the client is asked to rest the joint for up to 24 hours afterwards to help relieve the pain and promote rest to the inflamed joint. The client may experience pain during this time until the inflammation begins to resolve and swelling decreases.

the nurse is assessing a client who had a left hip replacement 36 hours ago. Which findings indicate the prosthesis is dislocated? select all that apply 1 the client reported a popping sensation in the hip 2 the left leg is shorter than the right leg 3 the client has sharp pain in the groin 4 the client cannot move the right leg 5 the client cannot wiggle the toes on the left leg

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the nurse is assessing a client's left leg for neuorvascular changes following a total left knee replacement. which are expected normal findings? select all that apply. 1 moderate edema of the left knee 2 skin warm to touch 3 capillary refill response of <3 seconds 4 moves toes 5 pain absent 6 pulse on left leg weaker than right leg

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A client had a posterolateral total hip replacement 2 days ago. What should the nurse include in the client's plan of care? Select all that apply. 1 When using a walker, encourage the client to point the toes inward. 2 Position a pillow between the legs to main- tain abduction. 3 Allow the client to be in the supine position or in the lateral position on the unoperated side. 4 Do not allow the client to bend down to tie or slip on shoes. 5 Place ice on the incision after physical therapy.

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A client who had a total hip replacement 4 days ago is worried about dislocation of the prosthesis. how should the nurse respond to the client's concern? 1 dont worry. your new hip is very strong 2 use of a cushioned toilet seat helps to prevent dislocation 3 activities that tend to cause adduction of the hip tend to cause dislocation, so try to avoid them 4 decreasing use of the abductor pillow will strengthen the muscles to prevent dislocation

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On a visit to the clinic, a client reports the onset of early symptoms of rheumatoid arthritis. The nurse should conduct a focused assessment for: 1. Limited motion of joints. 2. Deformed joints of the hands. 3. Early morning stiffness. 4. Rheumatoid nodules.

3. Initially, most clients with early symptoms of rheumatoid arthritis complain of early morning stiffness or stiffness after sitting still for a while. Later symptoms of rheumatoid arthritis include limited joint range of motion; deformed joints, especially of the hand; and rheumatoid nodules.

A client is in the acute phase of rheumatoid arthritis. Which of the following should the nurse identify as lowest priority in the plan of care? 1. Relieving pain. 2. Preserving joint function. 3. Maintaining usual ways of accomplishing tasks. 4. Preventing joint deformity.

3. Maintaining usual ways of accomplishing tasks would be the lowest priority during the acute phase. Rather, the focus is on developing less stressful ways of accomplishing routine tasks. Pain relief is a high priority during the acute phase because pain is typically severe and interferes with the client's ability to function. Preserving joint function and preventing joint deformity are high priorities during the acute phase to promote an optimal level of functioning and reduce the risk of contractures.

the nurse is teaching the client to administer enoxaparin following a total hip replacement. what should the nurse instruct the client to do? select all that apply. A report promptly any difficulty breathing, rash, or itching. B Notify the health care provider of unusual bruising C Avoid all aspirin containing medications D wear or carry medical identification E expel the air bubble from the syringe before the injection F remove the needle immediately after the medication is injected

ABCD