A client has fibromyalgia and is prescribed duloxetine hydrochloride (Cymbalta). The client calls the clinic and asks the nurse why an antidepressant drug has been prescribed. What response by the nurse is best?
a. A little sedation will help you get some rest.
b. Depression often accompanies fibromyalgia.
c. This drug works in the brain to decrease pain.
d. You will have more energy after taking this drug.
Question 2A client is getting out of bed into the chair for the first time after an uncemented hip replacement. What action by the nurse is most important?
a. Have adequate help to transfer the client.
b. Provide socks so the client can slide easier.
c. Tell the client full weight bearing is allowed.
d. Use a footstool to elevate the client's leg.
Question 3An older client is scheduled to have hip replacement in 2 months and has the following laboratory values: white blood cell count: 8900/mm3, red blood cell count: 3.2/mm3, hemoglobin: 9 g/dL, hematocrit: 32.
What intervention by the nurse is most appropriate?
a.
Instruct the client to avoid large crowds.
b.
Prepare to administer epoetin alfa (Epogen).
c.
Teach the client about foods high in iron.
d.
Tell the client that all laboratory results are normal.
Question 4A client is scheduled to have a hip replacement. Preoperatively, the client is found to be mildly anemic and the surgeon states the client may need a blood transfusion during or after the surgery. What action by the preoperative nurse is most important?
a. Administer preoperative medications as prescribed.
b. Ensure that a consent for transfusion is on the chart.
c. Explain to the client how anemia affects healing.
d. Teach the client about foods high in protein and iron.
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