Nokea
The client with arthritis is receiving sodium salicylate and asks the nurse what the drug will do for her. The nurse's reply should include information that the drug is given for which of the following effects?
- A. Antipyretic
- B. Antibiotic
- C. Anticoagulant
- D. Anti-inflammatory
Correct Answer: D
Rationale: Sodium salicylate is primarily used for its anti-inflammatory effects in arthritis, reducing joint pain and swelling.
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The physician orders prednisone for a client with rheumatoid arthritis for painful wrists and joints. Which instruction is it essential for the nurse to give the client?
- A. Take the pills with milk or food.'
- B. Be sure to take the medication between meals.'
- C. Stop the pills at once if your face begins to get puffy.'
- D. Your urine may turn pinkish while taking this.'
Correct Answer: A
Rationale: Taking prednisone with food or milk reduces gastrointestinal irritation, a key instruction for safe administration.
Which action by the nurse would be most appropriate for a child newly diagnosed with Reye's syndrome?
- A. Determining if the child had a bacterial infection recently
- B. Placing the child in a private room with droplet precautions
- C. Taking the child to the unit's play area to interact with others
- D. Assessing for signs of bleeding and for prolonged bleeding time
Correct Answer: D
Rationale: Assessing for bleeding is critical in Reye's syndrome due to liver dysfunction and potential coagulopathy.
To prevent skin breakdown while the client is in Russell's traction, the nurse must frequently inspect the skin in which area?
- A. Over the ischial spines
- B. In the popliteal space
- C. Near the iliac crests
- D. At the zygomatic arch
Correct Answer: B
Rationale: Russell's traction involves a sling under the knee, placing pressure on the popliteal space, which is prone to skin breakdown due to prolonged contact and immobility. Frequent inspection here prevents pressure ulcers.
Which finding should the nurse report as a sign of increased intracranial pressure (ICP)?
- A. While an increasing temperature may be associated with ICP, it may also be due to an infection. It is more important for the nurse to report the widened pulse pressure as a sign of increased ICP.
- B. A widened pulse pressure (increased systolic BP and a decreased diastolic BP) is one of the signs of Cushing's triad and is indicative of ICP.
- C. Bradycardia (not tachycardia) is associated with ICP.
- D. An increased systolic BP (not decreased systolic BP) is another sign of Cushing's triad.
Correct Answer: B
Rationale: Widened pulse pressure is a hallmark of Cushing's triad, indicating increased ICP.
The occupational health nurse is teaching a class on the risk factors for developing osteoarthritis (OA). Which is a modifiable risk factor for developing OA?
- A. Being overweight.
- B. Increasing age.
- C. Previous joint damage.
- D. Genetic susceptibility.
Correct Answer: A
Rationale: Excess weight increases joint stress, a modifiable risk for OA. Age, prior damage, and genetics are nonmodifiable.