1) The nurse has administered an opioid analgesic to a client. Which interventions should the nurse implement? Select all that apply A. Discuss with the physician starting the client on a stool softener. B. Teach the client about rating the pain on a numeric pain scale. C. Inform the client to rise quickly from a supine position. D. Tell the client to call for assistance when getting out of bed. 2). Mrs. Lee has been taking ibuprofen for the last 2 months. She has noticed both her knees are occasionally red and warm when she touches them. She has observed that besides her knee pain, the joints in her hands have been red with some swelling. The physician diagnoses Mrs. Lee with rheumatoid arthritis and gout. He starts her on allopurinol 100mg PO every day and celecoxib 100mg PO BID for pain. In teaching Mrs. Lee about her new medication regimen: You describe to Mrs. Lee how allopurinol will help in the management of her joint pain. What is your best explanation? A. “Allopurinol reduces the amount of lactic acid that accumulates in the joints.” B. “Allopurinol reduces the amount of uric acid that accumulates in the joints.” C. “Allopurinol reduces the amount of carbonic acid that accumulates in the joints.” D. “Allopurinol reduces the amount of hydrochloric acid that accumulates in the joints. 3). What dietary instructions should be provided to Mrs. Lee in regard to her new gout diagnosis? A. “Avoid alcohol, aged cheese, and red meats.” B. “Avoid low-fat milk and other dairy items.” C. “Eat only fruits and vegetables every day.” D. “Adhere to a low-fat, low cholesterol diet.”
1) The nurse has administered an opioid analgesic to a client. Which interventions should the nurse
implement? Select all that apply
A. Discuss with the physician starting the client on a stool softener.
B. Teach the client about rating the pain on a numeric pain scale.
C. Inform the client to rise quickly from a supine position.
D. Tell the client to call for assistance when getting out of bed.
2). Mrs. Lee has been taking ibuprofen for the last 2 months. She has noticed both her knees are
occasionally red and warm when she touches them. She has observed that besides her knee pain, the
joints in her hands have been red with some swelling. The physician diagnoses Mrs. Lee with
rheumatoid arthritis and gout. He starts her on allopurinol 100mg PO every day and celecoxib 100mg PO
BID for pain. In teaching Mrs. Lee about her new medication regimen:
You describe to Mrs. Lee how allopurinol will help in the management of her joint pain. What is
your best explanation?
A. “Allopurinol reduces the amount of lactic acid that accumulates in the joints.”
B. “Allopurinol reduces the amount of uric acid that accumulates in the joints.”
C. “Allopurinol reduces the amount of carbonic acid that accumulates in the joints.”
D. “Allopurinol reduces the amount of hydrochloric acid that accumulates in the joints.
3). What dietary instructions should be provided to Mrs. Lee in regard to her new gout diagnosis?
A. “Avoid alcohol, aged cheese, and red meats.”
B. “Avoid low-fat milk and other dairy items.”
C. “Eat only fruits and vegetables every day.”
D. “Adhere to a low-fat, low cholesterol diet.”
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