The nurse is caring for a client who has osteoarthritis. Which of the following medications should the nurse expect to be prescribed for the client?
- A. allopurinol
- B. etanercept
- C. oxaprozin
- D. methotrexate
Correct Answer: C
Rationale: Oxaprozin is a nonsteroidal anti-inflammatory drug (NSAID) commonly prescribed for osteoarthritis to reduce pain and inflammation. Allopurinol is used for gout, etanercept for autoimmune conditions like rheumatoid arthritis, and methotrexate for severe autoimmune diseases, not typically osteoarthritis.
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Multiple clients have been brought to the emergency department after being struck by lightning during a severe thunderstorm. Which of the following clients should the nurse prioritize? The client who?
- A. reports numbness and tingling in all their extremities.
- B. has paralysis on both lower extremities.
- C. is confused and cannot remember their name or why they are in the emergency department.
- D. experienced a massive electrical current discharge to their body.
Correct Answer: B
Rationale: Paralysis in both lower extremities indicates potential spinal cord injury or severe neurological damage, requiring immediate prioritization. Numbness and tingling (A) suggest peripheral nerve issues, confusion (C) may indicate concussion or hypoxia, and massive discharge (D) lacks specific clinical urgency without symptoms.
The nurse should assess the client with bladder cancer for which of the following?
- A. Suprapubic pain.
- B. Dysuria.
- C. Painless hematuria.
- D. Urine retention.
Correct Answer: C
Rationale: Painless hematuria is a hallmark symptom of bladder cancer, often presenting as the initial sign due to tumor growth causing bleeding without associated pain.
The client has a nursing diagnosis of Self-care deficit related to the confinement of traction. Which of the following would indicate a successful outcome for this diagnosis?
- A. The client assists as much as possible in his care, demonstrating increased participation over time.
- B. The client allows the nurse to complete his care in an efficient manner without interfering.
- C. The client allows his wife to assume total responsibility for his care.
- D. The client allows his wife to complete his care to promote feelings of usefulness.
Correct Answer: A
Rationale: Increased participation in self-care indicates progress toward independence despite traction limitations.
A client is to be discharged from same-day surgery 7 hours after his inguinal hernia repair. Which of the following indicates this client is ready to be discharged?
- A. The client voids 500 mL of urine.
- B. The client tolerates eating a hamburger.
- C. The client is pain-free.
- D. The client walks in the hallway unassisted.
Correct Answer: A
Rationale: Voiding 500 mL indicates normal bladder function, a key discharge criterion after hernia repair, ensuring no urinary retention from anesthesia or surgery.
A nurse is providing teaching to a client about skin cancer. Which of the following should the nurse explain are risk factors for skin cancer? Select all that apply.
- A. Increasing age.
- B. Exposure to chemical pollutants.
- C. Long-term exposure to the sun.
- D. Increased pigmentation.
- E. Genetics.
- F. Immunosuppression.
Correct Answer: A,C,E,F
Rationale: Increasing age, sun exposure, genetics, and immunosuppression increase skin cancer risk. Chemical pollutants are less significant, and increased pigmentation reduces risk.
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