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A client with newly diagnosed rheumatoid arthritis asks the nurse what happens to the joint with this disease. Which explanation by the nurse is most accurate?

The cartilage in the joint wears away from constant use and causes pain.

The body is misinterpreting non-painful stimuli as pain.

There are crystals in the joint which cause inflammation and pain.

The body is attacking the joint lining causing inflammation and joint destruction.

Answer and Explanation

The Correct Answer is D

A. This description is more characteristic of osteoarthritis, where cartilage wear and tear occur.

B. This explanation is more related to chronic pain syndromes, not specifically RA.

C. The presence of crystals in the joint is a characteristic of gout, not RA.

D. Rheumatoid arthritis (RA) is an autoimmune condition in which the body’s immune system attacks the synovial lining of the joints, causing inflammation, pain, and eventually joint destruction.

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Correct Answer is B

Explanation

A. While pain may increase if the knee is positioned improperly, the primary concern is the development of a contracture.

B. Placing a pillow under the knee after total knee replacement can promote a flexion contracture, which results in the inability to fully extend the knee. This is undesirable as it can limit mobility and function post-surgery.

C. The pillow does not stop circulation to the extremity directly.

D. A pillow under the knee is not typically associated with skin breakdown unless the client is immobile for extended periods, but the risk of contracture is a more immediate concern.

A. Enzymatic medication B. Oxygen therapy C. Anti-coagulation therapy D. Physical therapy E. "Safe gradual weight loss will decrease stress on your joints."

Correct Answer is B

Explanation

A. Enzymatic medications are not relevant to this condition.

B. Oxygen therapy is critical as these symptoms suggest fat embolism syndrome, which impairs oxygenation.

C. Anticoagulation therapy is not appropriate for fat embolism syndrome, which differs from thromboembolism.

D. Physical therapy is not an immediate intervention for this acute condition.

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A client with newly diagnosed rheumatoid arthritis asks the nurse what happens to the joint with this disease. Which explanation by the nurse is most accurate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse understands that the placement of a pillow under the knee of a client with a total knee replacement is contraindicated because it will:

Correct Answer is B

Explanation

The nurse is caring for a client who has sustained multiple injuries, including a fractured pelvis and femur. Two days later, the client becomes restless and confused. The nurse notes petechiae on the client's neck and chest. The nurse should expect which physician order?

Correct Answer is B

Explanation

A client with systemic lupus erythematosis has a history of tuberculosis exposure that has been treated. Which medication should the nurse question as possible cause for the lupus symptoms?

The nurse understands that the placement of a pillow under the knee of a client with a total knee replacement is contraindicated because it will:

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