Author Question: The client with muscle aches and a diagnosis of rheumatism has been given a prescription for ... (Read 96 times)

ARLKQ · **on:** Jul 22, 2018

The client with muscle aches and a diagnosis of rheumatism has been given a prescription for capsaicin topical cream. The nurse evaluates that the client understands the use of the medication if the client states that:

1. The medication will act as a local analgesic.
2. The medication acts by decreasing muscle spasms.
3. The medication will cause redness, flaking, and the skin to peel.
4. A heating pad should be put on the area after applying the medication.

Question 2

The nurse is monitoring the laboratory values of a child with leukemia who is receiving chemotherapy. The nurse prepares to implement bleeding precautions if the child becomes thrombocytopenic and the platelet count is less than _____ cells/mm3.

1. 80,000
2. 100,000
3. 120,000
4. 150,000

bfulkerson77 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

1

Rationale: Capsaicin is used for the temporary relief of muscular aches, rheumatism, arthritis, sprains, and neuralgia. It is one of a group of products known as rubs or liniments, which contain combinations of antiseptics, local anesthetics, analgesics, and counterirritants. The skin should not become red, flaky, or peel; if this occurs, the physician should be notified. The medication does not act systemically. A heating pad should not be applied, because it could cause skin irritation or burning.

Answer to Question 2

1

Rationale: If a child is thrombocytopenic, precautions need to be taken because of the increased risk of bleeding. The precautions include limiting activity that could result in head injury, using soft toothbrushes, checking urine and stools for blood, and administering stool softeners to pre-vent straining with constipation. Additionally, suppositories and rectal temperatures are avoided. The normal platelet count ranges from 150,000 to 400,000 cells/mm3.