nursing re-115

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Chamberlain College of Nursing *

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Nursing

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Nov 24, 2024

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Uploaded by HighnessWillpowerStarling30

quickly which could be associated with a fat embolism. Clients with a hip fracture usually experience great pain and assessing pain with each set of vital signs is key to effective pain management. Circulation, motion and sensation checks should be completed at least every four hours, not daily. The nurse is assisting in the preoperative plan of care for an older adult client who will be undergoing a total hip arthroplasty. To improve the client's postoperative course, which interventions should the nurse plan for? (Select all that apply.) Preoperative pain control with naproxen Instruction on plantar and dorsiflexion exercises Administration of subcutaneous warfarin The use of assistive devices for ambulation Application of sequential compression devices - Due to the client's age and the surgical procedure, the client is at risk for a venous thromboembolism. The nurse should include the use of sequential compression devices to decrease venous stasis along with providing instruction on plantar and dorsiflexion exercises. Warfarin is administered orally; it does not come in an injectable form. The client will most likely need assistive devices initially for safe ambulation postoperatively. Preoperatively, the nurse should not use naproxen to control pain because it is a nonsteroidal anti-inflammatory drug (NSAID) and can increase the risk of bleeding during surgery. The nurse is caring for a client who is experiencing an acute gout attack. Which action should the nurse implement? 1Monitor liver enzymes. 2Provide a high-protein diet. 3Restrict sodium intake. 4Administer indomethacin. - 4 the nurse should administer a non-steroidal anti-inflammatory medication such as indomethacin to help decrease pain and inflammation. The nurse is reinforcing teaching regarding the use of methotrexate with a female client who has systemic lupus erythematosus. Which statement by the client indicates an understanding of the teaching? 1"I should not use contraception that contains estrogen." 2"I will avoid interacting with people in large crowds." 3"Lab work won't be necessary while I take this medication." 4"I will not take any vitamin that contains folic acid." - 2 Methotrexate is an immunosuppressant medication that is used to treat systemic lupus erythematosus (SLE). Due to immunosuppression, clients taking methotrexate should avoid large crowds of people to prevent becoming ill. Methotrexate should be taken with folic acid to decrease gastrointestinal and hepatic toxicity. Clients who are taking this medication should have a complete blood count test done regularly to monitor for decreased white blood cells and platelets, which can indicate bone marrow suppression. Methotrexate is teratogenic, therefore, pregnancy should be avoided while taking this medication.

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