# 13. A femoral head replacement was performed on an elderly elient. Post-operatively the nurse positions the...

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13. A femoral head replacement was performed on an elderly elient. Post-operatively the nurse positions the client with an abductor pillow between the client's legs, What is the primary reason for this? 1. This position will promote greater comfort. 2. Abduction will prevent the prosthesis from snapping out of the socket. 3. Abduction will prevent the prosthesis from snapping out of the socket. 4. This position will help to prevent pressure on the sciatic nerve. 14. The client with rbeumatoid arthritis has been taking 15 or 20 extra-strength aspirin a day. Which additional statement she makes would be of greatest concerm to the nurse? 1. "I sometimes have ringing in my ears." 2. "I have a rash under my arms." 3. "My fingers are swollen sometimes." 4. "I don't have very much energy. 15. The physician orders prednisone for a elient with rheumatoid arthritis for painful wrists and joints, Which instruction is it essential for the nurse to give the client? 1. "Take the pills with milk or food." 2. "Be sure to take the medication between meals." 3. "Stop the pills at once if your face begins to get puffy." 4. "Your urine may turn pinkish while taking this." 16. The client is a 64-year-old male admitted to the hospital with severe pain in his right big toe, which is red and swollen. Which nursing care measure is most essential for the nurse to perform at this time? 1. Use a bed cradle on the bed. 2. Put a bed board on the bed. 3. Obtain a heat lamp. 4. Prepare to catheterize the client. 17. The nurse is to give the client with gout one tablet of colchicines every hour until relief or toxicity occurs. Which of the following is an indication for stopping the colchicines? 1. Ringing in the ears 2 Nausea and vomiting 3. A rash on the client's hips 4. A temperature of 101 F 18. The nurse is teaching the client with gout about a diet low in purines. Which of the 4 asssesme a) distended neck b) hepatomegaly
g is lowest in purine? 1. Roast chicken 2. Beef liver 3, Fried shrimp 4. Scrambled eggs 1 The client is now over an acute episode of gout. He is to be discharged on allopurinol txloprim). What instruction must the nurse give to this elient? 1. "Take your medicine on an empty stomach. 2. "Report any nausea to your physician at once." 3. "Drink two to three quarts of fluids daily." 4. "Do not take over-the-counter cold medicine." 20. The client with arthritis is receiving sodium salicvlate 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 these effects? 1. Antipyretic 2 Antibiotic 3. Anticoagulant 4. Anti-inflammatory 21. The client with newly diagnosed rheumatoid arthritis asks what can happen if no treatment is done. The nurse knows that if rheumatoid arthritis is left untreated, which of the following would be most apt to develop? 1. Bony ankylosis 2. Chronic osteomyelitis 3. Pathological fractures 4. Joint hypermobility 22. The client with rheumatoid arthritis is to receive prednisone 2.5 mg p.m. a.c. and h.s What is the primary expected action of the drug? 1. Maintenance of sodium and potassium balance 2. Improvement of carbohydrate metabolism 3. Production of androgen-like efffects 4. Interference with inflammatory reactions 23. The client is admitted to the hospital for a diagnostic workup. The client has vague symptoms of malaise, coughing, chest discomfort, low-grade fever, diffuse rashes, and musculoskeletal aches and pains. A diagnosis of probable lupus erythematosus has bee made. The night with this disease for the rest of my life." Which response by the nurse would be most therapeutic at this time? 1. Telling the client there are support groups to join after discharge 2. Offering to stay with the client to discuss concerns and questions 3. Advising the client to write concerns on paper to discuss with the doctor nurse finds the client crying and saying, "I would rather die than suffe

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