The nurse is providing care to a client, with a history of ...

[jazziefee]

The nurse is providing care to a client, with a history of rheumatoid arthritis (RA), who is 5 months pregnant. Which nursing actions are appropriate when providing care to this client? Select all that apply.
 
  A) Telling the client there is an increased risk for preterm delivery because of salicylate therapy
  B) Monitoring the client for anemia due to salicylate therapy
  C) Suggesting the client begin supplemental pyridoxine
  D) Educating the client that medication therapy may be discontinued due to remission
  E) Teaching the client that RA may be contracted by the fetus during pregnancy

Question 2

An older adult client is brought into the emergency room after experiencing a fall. The nurse suspects elder abuse. Which assessment findings support the nurse's suspicions?
 
  Select all that apply.
  A) Poor hygiene
  B) Dehydration
  C) Intracranial trauma
  D) Fecal impaction
  E) Dislocations

[bigcheese9]

Answer to Question 1

Answer: B, D

When providing care to a client with RA during pregnancy, the nurse will monitor the client anemia due to salicylate therapy and educate the client medication therapy may be discontinued if the client experiences remission during the pregnancy. Salicylate therapy is associated with prolonged gestation and labor. Supplemental pyridoxine is required for clients being treated with isoniazid for TB during pregnancy. RA cannot be contracted by the fetus during pregnancy.

Answer to Question 2

Answer: A, B, D, E

The nurse suspecting elder abuse would assess for clinical manifestations associated with elder abuse. Some of those clinical manifestations are: constant hunger or malnutrition, poor hygiene, social isolation, contractures, dehydration, fecal impaction, fractures, sprains, or dislocations. Intracranial trauma is not a typical clinical manifestation of elder abuse; however, it is a clinical manifestation of child abuse.