Nokea
A nurse is developing a plan of care for a client with advanced rheumatoid arthritis who is experiencing moderate pain in the knees and hips. The client also has some deformities that make walking and moving about difficult. The primary health care provider has prescribed diflunisal. Which nursing diagnosis would be most appropriate for this client?
- A. Acute Pain
- B. Impaired Physical Mobility
- C. Ineffective Self Health Management
- D. Deficient Knowledge
- E. Imbalanced Nutrition: Less Than Body Requirements
Correct Answer: A,B
Rationale: Acute Pain and Impaired Physical Mobility are appropriate diagnoses based on the client's moderate pain and mobility issues due to rheumatoid arthritis.
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Foods containing salicylates may increase the risk of adverse reactions in clients receiving salicylates. The nurse recommends that a client avoid the intake of which of the following?
- A. Turkey
- B. Pepper
- C. Paprika
- D. Tea
- E. Prunes
Correct Answer: C,D,E
Rationale: Paprika, tea, and prunes contain salicylates, which can increase the risk of adverse reactions in clients taking salicylate medications.
A nurse is caring for a patient who is receiving a salicylate for pain relief. The nurse would assess the client for which of the following suggesting salicylism?
- A. Constipation
- B. Bradycardia
- C. Sleeplessness
- D. Flushing
Correct Answer: D
Rationale: Flushing is a symptom of salicylism. Tachycardia, not sleepliness or constipation, is associated with salicylism.
After administering diflunisal to a client, the nurse would be alert for which of the following as an adverse reaction?
- A. Diarrhea
- B. Tarry stools
- C. Weight loss
- D. Heartburn
- E. Constipation
Correct Answer: B,C,D
Rationale: Adverse effects of diflunisal, a salicylate, include gastric upset, heartburn, nausea, vomiting, anorexia, and GI bleeding (dark, tarry stools). Weight loss is also a potential adverse effect.
Which of the following drugs is used to decrease the risk of myocardial infarction in patients with unstable angina or previous myocardial infarction?
- A. Aspirin
- B. Diflunisal
- C. Magnesium salicylate
- D. Acetaminophen
Correct Answer: A
Rationale: Aspirin reduces the risk of myocardial infarction in patients with unstable angina or previous myocardial infarction due to its antiplatelet effects.
A nurse understands that aspirin would be contraindicated in a child with which of the following?
- A. Liver dysfunction
- B. High blood pressure
- C. Diabetes
- D. Chickenpox
Correct Answer: D
Rationale: Aspirin is contraindicated in children with chickenpox due to the risk of Reye's syndrome, a life-threatening condition.