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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. Suggesting remedies prematurely without fully understanding the client’s concerns might not address their specific needs.

B. The best response is to encourage open communication by acknowledging the client’s concerns and fostering a discussion. This approach helps the nurse understand the client’s worries and provide tailored information about rheumatoid arthritis and its potential impact on daily life.

C. The progression of rheumatoid arthritis is variable and can affect activities of daily living more noticeably over time; it’s not always subtle.

D. While predicting disease outcomes can be difficult, giving a more open response like option B will foster better communication and support.

A. Dangle the leg so the leg does not get swollen. B. Apply a ACE bandage to the ankle. C. Stay off the ankle for 2 to 3 days. D. Apply compression to the ankle. E. Apply a cold pack to the ankle.

Correct Answer is ["B","D","E"]

Explanation

A. Danging the leg is not advisable as it may increase swelling. Elevation is more beneficial for reducing swelling.

B. An ACE bandage helps stabilize the ankle and reduce swelling.

C. The client should stay off the ankle for several days, but it’s important to resume gentle movement and weight-bearing once swelling and pain allow to promote healing and prevent stiffness.

D. Compression also reduces swelling and provides support to the injured area.

E. Applying a cold pack reduces inflammation and pain during the acute phase of a sprain.

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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 client has been diagnosed with rheumatoid arthritis and asks, "What impact will this have on my activities of daily living in the years to come?" What is the best response by the nurse?

Correct Answer is B

Explanation

The patient has been admitted to the med-surg unit with the diagnosis of sprained ankle. Which of the following interventions are important to implement for this patient? (SELECT ALL THAT APPLY).

Correct Answer is ["B","D","E"]

Explanation

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