A nurse assesses a group of clients who have rheumatoid arthritis (RA). Which client would the nurse see first?

Client with a worse joint deformity since the last visit

Client with a red, hot, swollen right wrist

Client who has a puffy-looking area behind the knee

Client who reports jaw pain when eating

Answer and Explanation

The Correct Answer is B

Choice A rationale: While joint deformities are concerning in RA, the immediate attention would be required for an acute, red, hot, swollen joint which could indicate an active inflammatory process.
Choice B rationale: Redness, heat, and swelling in a joint are signs of an acute flare in rheumatoid arthritis and might require urgent intervention to manage the inflammation.
Choice C rationale: Puffy-looking areas behind the knee might indicate joint involvement but might not require immediate attention as much as an acutely inflamed joint.
Choice D rationale: Jaw pain while eating can be a symptom of TMJ involvement in RA, but an acutely inflamed joint would generally take precedence.

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Correct Answer is B

Explanation

Choice A rationale: This is not accurate since the manifestations of facial nerve paralysis are observed on the contralateral side which in this case is the left side of the face hence the right facial nerve is paralyzed.

Choice B rationale: Facial nerve paralysis cause symptoms such as drooping of the eyelid, cheek or mouth as depicted in the above picture. The right facial nerve is paralyzed since the nerve innervates the contralateral side hence the effects are demonstrated on the

left side of the face.

Choice C rationale: trigeminal nerve paralysis causes symptoms such as weakness in muscles of mastication, altered sensation over the face and tongue, and hearing impairment and not the symptoms depicted above.

Choice D rationale: trigeminal nerve paralysis causes symptoms such as weakness in muscles of mastication, altered sensation over the face and tongue, and hearing impairment and not the symptoms depicted above.

A. Stools constantly oozing from the rectum B. Chronic constipation C. Diarrhea D. Constipation alternating with diarrhea

Correct Answer is C

Explanation

Choice A rationale: Not a typical characteristic of Crohn's disease; more associated with conditions like rectal fistulas.

Choice B rationale: Crohn's disease commonly involves diarrhea rather than chronic constipation.

Choice C rationale: A common symptom of Crohn's disease due to inflammation and malabsorption in the intestines.

Choice D rationale: Crohn's disease typically presents with diarrhea but not necessarily alternating with constipation. Constipation alternating with diarrhea may also occur in irritable bowel syndrome.

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A nurse assesses a group of clients who have rheumatoid arthritis (RA). Which client would the nurse see first?