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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 ["A","B","C","E"]

Explanation

A. Elevating the leg helps reduce swelling by promoting venous return and decreasing fluid accumulation.

B. Reducing activity helps prevent further injury and allows the healing process to begin.

C. Applying ice helps reduce swelling and pain in the acute phase of a sprain.

D. Traction is typically not used for a sprained ankle unless there is a fracture or more severe injury, which is not typical for sprains.

E. An ACE bandage or wrap provides compression, which helps control swelling and supports the injured area.

A. Client scratching around the pin sites B. Accumulation of flaky skin on the extremity C. Dry serosanguinous drainage on the fixator D. Pain when client is not moving the extremity E. Fall prevention

Correct Answer is D

Explanation

A. Scratching around pin sites is more indicative of skin irritation or infection, not compartment syndrome.

B. Accumulation of flaky skin is generally unrelated to compartment syndrome and might be a sign of poor circulation or prolonged immobility.

C. Dry serosanguineous drainage is common after surgery and would not specifically indicate compartment syndrome.

D. Compartment syndrome is a serious condition where increased pressure within a muscle compartment can lead to ischemia and tissue damage. Pain, particularly pain that is out of proportion to the injury or pain when the limb is at rest, is a classic sign.

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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?

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Naxlex Comprehensive Predictor Exams

Your neighbor returns home from the Emergency Department following treatment for a right ankle sprain and asks you, a nurse, to explain what will happen now that he is home. You recognize that continuing short term treatment will most likely include: (SELECT ALL THAT APPLY)

Correct Answer is ["A","B","C","E"]

Explanation

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Correct Answer is D

Explanation

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