This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: After the nurse assesses a 78-year-old who uses naproxen (Aleve) daily for hand and knee ... (Read 93 times)

Brittanyd9008

  • Hero Member
  • *****
  • Posts: 500
on: Jun 25, 2018
After the nurse assesses a 78-year-old who uses naproxen (Aleve) daily for hand and knee osteoarthritis management, which information is most important to report to the health care provider?
 
  a. Knee crepitation is noted with normal knee range of motion.
  b. Patient reports embarrassment about having Heberden's nodes.
  c. Patient's knee pain while golfing has increased over the last year.
  d. Laboratory results indicate blood urea nitrogen (BUN) is elevated.

Question 2

A 28-year-old with psoriatic arthritis and back pain is receiving etanercept (Enbrel). Which finding is most important for the nurse to report to the health care provider?
 
  a. Crackles are heard in both lung bases.
  b. Red, scaly patches are noted on the arms.
  c. Hemoglobin level is 11.1g/dL and hematocrit is 35.
  d. Patient reports continued back pain after a week of etanercept therapy.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

eliasc0401

  • Sr. Member
  • ****
  • Posts: 338
Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: D
Older patients are at increased risk for renal toxicity caused by nonsteroidal antiinflammatory drugs (NSAIDs) such as naproxen. The other information will also be reported to the health care provider but is consistent with the patient's diagnosis of osteoarthritis and will not require an immediate change in the patient's treatment plan.

Answer to Question 2

ANS: A
Because heart failure is a possible adverse effect of etanercept, the medication may need to be discontinued. The other information will also be reported to the health care provider but does not indicate a need for a change in treatment. Red, scaly patches of skin and mild anemia are commonly seen with psoriatic arthritis. Treatment with biologic therapies requires time to improve symptoms.


Brittanyd9008

  • Member
  • Posts: 500
Reply 2 on: Jun 25, 2018
YES! Correct, THANKS for helping me on my review

yeungji

  • Member
  • Posts: 319
Reply 3 on: Yesterday
Great answer, keep it coming :)

« previous next »
 

Did you know?

To combat osteoporosis, changes in lifestyle and diet are recommended. At-risk patients should include 1,200 to 1,500 mg of calcium daily either via dietary means or with supplements.

Did you know?

Astigmatism is the most common vision problem. It may accompany nearsightedness or farsightedness. It is usually caused by an irregularly shaped cornea, but sometimes it is the result of an irregularly shaped lens. Either type can be corrected by eyeglasses, contact lenses, or refractive surgery.

Did you know?

Certain chemicals, after ingestion, can be converted by the body into cyanide. Most of these chemicals have been removed from the market, but some old nail polish remover, solvents, and plastics manufacturing solutions can contain these substances.

Did you know?

A good example of polar molecules can be understood when trying to make a cake. If water and oil are required, they will not mix together. If you put them into a measuring cup, the oil will rise to the top while the water remains on the bottom.

Did you know?

The use of salicylates dates back 2,500 years to Hippocrates's recommendation of willow bark (from which a salicylate is derived) as an aid to the pains of childbirth. However, overdosage of salicylates can harm body fluids, electrolytes, the CNS, the GI tract, the ears, the lungs, the blood, the liver, and the kidneys and cause coma or death.

Critical thinking involves analysis in which the nurse examines patient data available from a variet Critical thinking involves analysis in which the nurse examines patient data available from a variet
Range of Motion of the Wrist and Hand Joints, Radial and Ulnar Deviation of the Wrist Range of Motion of the Wrist and Hand Joints, Radial and Ulnar Deviation of the Wrist
Arthroscopic surgery. In this illustration, the knee joint is undergoing surgery with a specialized Arthroscopic surgery. In this illustration, the knee joint is undergoing surgery with a specialized
The Black Death spread over much of Europe in a three-year period in the middle of the fourteenth ce The Black Death spread over much of Europe in a three-year period in the middle of the fourteenth ce
An oral contraceptive showing the daily doses and the different formulation taken in the last 7 days ... An oral contraceptive showing the daily doses and the different formulation taken in the last 7 days ...
Deformation of the hand from rheumatoid arthritis. Deformation of the hand from rheumatoid arthritis.
Video: Major Elements in Biological Molecules: Carbohydrates

For a complete list of videos, visit our video library