RPN Test II (A).pdf - RPN Integrated Post Test II(A The client with rheumatoid arthritis takes a total of 5 g of aspirin per day 1 When planning care

RPN Test II (A).pdf - RPN Integrated Post Test II(A The...

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RPN Integrated Post Test II (A):The client with rheumatoid arthritis takes a total of 5 g of aspirin per day. 1. When planning care for the client, the PN expects that she will need more time and assistance with activities of daily living a.in the early morning.b.at noontime.c.in late afternoon.d.before bedtime.Answer: A - People with rheumatoid arthritis are more stiff and uncomfortable in the early morning hours after being inactive during the hours of sleep. Therefore, it is best to allow extra time and distribute self-care activities over later hours of the day. 2.Which nursing recommendation has the greatest potential for helping the client maintain her ability to care for herself? 3.During an acute episode of rheumatoid arthritis, the physician asks the PN to apply a splint to each of the client’s hands. The nurse most accurately explains to the client that the primary purpose of the splints is to 4. The client tells the PN that when she is at home she takes 400 mg of Ibuprofen (Motrin) four times a day. To determine if a side effect is occurring, which question is most appropriate to ask a client who takes nonsteroidal anti-inflammatory drugs (NSAIDs) such as Ibuprofen (Motrin)? a. “Have you noticed any hand tremors?” b. “Are you urinating more frequently?” c. “Has your interest in food changed?” d. “What color are your stools?” Answer: D - Gastrointestinal side effects and the potential for bleeding are common among clients who take nonsteroidal anti-inflammatory drugs (NSAIDs). By asking the client to identify the color of his stools, the nurse is assessing if the drug is causing gastrointestinal bleeding. NSAIDs are not known to cause increased urination or hand tremors. NSAIDs may or may not affect appetite depending on the amount of GI upset.
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  • Fall '16
  • michelle mangoro

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