A nurse is teaching a client who has a new prescription for ibuprofen to treat rheumatoid arthritis. The nurse should teach the client to monitor for what adverse effect of this medication?

Correct Answer: C

Rationale: In this scenario, the correct answer is C) Blurred vision. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) commonly used to treat rheumatoid arthritis. One of the potential adverse effects of NSAIDs, including ibuprofen, is visual disturbances such as blurred vision. Option A) Bleeding is incorrect because while NSAIDs can increase the risk of bleeding in some cases, blurred vision is a more specific adverse effect associated with ibuprofen use in this context. Option B) Insomnia and Option D) Constipation are unlikely adverse effects of ibuprofen. Insomnia is not a common side effect of NSAIDs like ibuprofen, and constipation is more commonly associated with other types of medications or health conditions. Educationally, it is important for nurses to understand the potential adverse effects of medications they administer to ensure patient safety and optimal outcomes. Teaching patients about common side effects empowers them to monitor their own health and seek appropriate medical attention if needed. It also highlights the critical role of patient education in promoting medication adherence and preventing complications.

Correct Answer: B

Rationale: In this scenario, the correct answer is B) Blanching. When the nurse presses down on the erythematous area and it turns white, this indicates that the blood flow to the area has temporarily stopped, causing blanching. This test helps assess the vascular response of the skin. Option A) Non-blanching is incorrect because blanching specifically refers to the skin turning white upon pressure, which is the opposite of non-blanching. Option C) Redness is incorrect as it describes the initial color of the area, not the change that occurs with pressure. Option D) Warmth is incorrect as it does not describe the visual change seen with pressure. Educationally, understanding blanching is crucial for healthcare providers as it aids in assessing skin perfusion, circulation, and potential issues like inflammation or infection. Recognizing blanching helps nurses and medical professionals make informed decisions about patient care and intervention strategies.

Correct Answer: A

Rationale: In the context of multi-dimensional care, understanding a client's primary defense mechanisms against infection is crucial for healthcare professionals. The correct answer, A) Intact skin, is a fundamental barrier that prevents pathogens from entering the body. Intact skin acts as the first line of defense by physically blocking the entry of microorganisms, thereby reducing the risk of infection. Option B) Inflammation is a secondary response to infection, characterized by redness, swelling, and pain. While inflammation is part of the body's immune response, it is not the primary defense mechanism against infection. Option C) Phagocytosis is a process where immune cells engulf and destroy pathogens. Although phagocytosis plays a vital role in fighting infections, it is not the client's primary defense mechanism. Option D) Fever is a systemic response to infection that helps the body fight off pathogens by creating an inhospitable environment for them. However, fever is a secondary defense mechanism and not the primary one. Educationally, this question highlights the importance of recognizing the body's natural defense mechanisms in preventing infections. By understanding the hierarchy of defense mechanisms, healthcare providers can better assess, treat, and educate clients on infection prevention strategies. Knowledge of primary defenses like intact skin empowers healthcare professionals to promote holistic care and support optimal health outcomes for clients.

Correct Answer: B

Rationale: In this scenario, the correct answer is option B: Provide the client with diversional activities. The psychosocial needs of a client on transmission-based precautions are crucial to address as isolation can lead to feelings of loneliness, anxiety, and depression. Providing diversional activities can help alleviate these negative emotions and enhance the client's overall well-being. Engaging the client in activities they enjoy can distract them from the stress of isolation, promote a sense of normalcy, and improve their mental health. Option A, allowing the client to sleep to build stamina, may be important for their physical health but does not directly address their psychosocial needs. Option C, maintaining a six-foot distance from the client, is a necessary infection control measure but does not focus on meeting the client's psychosocial needs. Option D, providing a timeframe for isolation, is important for managing expectations but does not actively address the client's current emotional state. Educationally, understanding the importance of addressing psychosocial needs in healthcare is vital for providing holistic care. Nurses need to consider not only the physical aspects of a client's condition but also their emotional and mental well-being to promote overall recovery and well-being. Incorporating activities that cater to a client's interests and preferences can significantly impact their experience during isolation and contribute to a more positive outcome.

Correct Answer: C

Rationale: In wound healing, the correct answer to the question is C) Inflammatory phase. This phase begins at the time of injury and typically lasts about 3-5 days. During the inflammatory phase, the body's immune response is triggered to protect against pathogens and initiate the healing process by clearing debris and bacteria from the wound site. Option A) Maturation is incorrect because it is the final phase of wound healing where the collagen fibers reorganize and strengthen the wound. Option B) Intentional is not a phase of wound healing but rather a term that implies deliberate action. Option D) Proliferative is also incorrect as it is the phase following the inflammatory phase where new tissue is generated to replace the damaged tissue. Understanding the phases of wound healing is crucial for healthcare professionals, especially those involved in wound care. Recognizing the sequence of events in wound healing helps in assessing wounds, determining appropriate interventions, and monitoring healing progress. This knowledge is fundamental in providing effective patient care and promoting optimal wound recovery.