Nokea
A client with osteoarthritis has a prescription for Celebrex (celecoxib). Which instruction should be included in the discharge teaching?
- A. Take the medication with milk.
- B. Report chest pain.
- C. Remain upright after taking for 30 minutes.
- D. Allow 6 weeks for optimal effects.
Correct Answer: B
Rationale: Chest pain may indicate a cardiovascular side effect of Celebrex, requiring immediate reporting.
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A client who is postmenopausal asks the nurse how to prevent osteoporosis. Which statement should the nurse make to the client?
- A. Eat 2 ounces of cheese each day and walk a mile a day.
- B. There are no known ways to prevent osteoporosis.
- C. Do weight-bearing exercises regularly and take hormones as ordered by your physician.
- D. Take potassium supplements daily.
Correct Answer: C
Rationale: Weight-bearing exercises and hormone therapy (if prescribed) are evidence-based methods to prevent osteoporosis, unlike the other options.
The nurse has just received the change of shift report. Which client should the nurse assess first?
- A. A client with a supratentorial tumor awaiting surgery
- B. A client admitted with a suspected subdural hematoma
- C. A client recently diagnosed with akinetic seizures
- D. A client transferring to the neuro rehabilitation unit
Correct Answer: B
Rationale: A suspected subdural hematoma is a medical emergency due to potential brain compression, requiring immediate assessment to prevent deterioration.
The client presents to the emergency room with a 'bull's eye' rash. Which question would be most appropriate for the nurse to ask the client?
- A. Have you found any ticks on your body?'
- B. Have you had any nausea in the last 24 hours?'
- C. Have you been outside the country in the last 6 months?'
- D. Have you had any fever for the past few days?'
Correct Answer: A
Rationale: A bull's eye rash is characteristic of Lyme disease, often caused by tick bites, making this the most relevant question.
Which action is contraindicated in the client with epiglottis?
- A. Ambulation
- B. Oral airway assessment using a tongue blade
- C. Placing a blood pressure cuff on the arm
- D. Checking the deep tendon reflexes.
Correct Answer: B
Rationale: Using a tongue blade can trigger airway obstruction in epiglottitis, making it contraindicated.
A client is admitted complaining of chest pain. Which of the following drug orders should the nurse question?
- A. Nitroglycerin
- B. Ampicillin
- C. Propranolol
- D. Verapamil
Correct Answer: B
Rationale: Ampicillin, an antibiotic, is not indicated for chest pain, which is typically cardiac-related and treated with nitroglycerin, propranolol, or verapamil.