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 C

Explanation

Choice A rationale: BSE will not reduce the risk of dying from breast cancer, but it may help you detect breast cancer earlier, when it is more treatable.

Choice B rationale: BSE should be done once a month, preferably at the same time each month. For women who have menstrual periods, the best time to do BSE is a few days after the period ends, when the breasts are less tender and swollen. For women who do not have menstrual periods, such as those who are pregnant, breastfeeding, or postmenopausal, they can choose a fixed date, such as the first day of each month, to do BSE.

Choice C rationale: For women who have menstrual periods, the best time to do BSE is a few days after the period ends, when the breasts are less tender and swollen. For women who do not have menstrual periods, such as those who are pregnant, breastfeeding, or postmenopausal, they can choose a fixed date, such as the first day of each month, to do BSE.

Choice D rationale: Annual mammograms are recommended for women aged 40 and older, or earlier if they have a high risk of breast cancer and not all women. Women aged less than 30 years should undergo breast ultrasound instead.

A. A 58-year-old client with gastrointestinal reflux disease B. A 65-year-old client with mild emphysema C. A 72-year-old client with hyperthyroidism D. A 48-year-old client with hypertension

Correct Answer is D

Explanation

Choice A rationale: Gastrointestinal reflux disease is not typically a contraindication for sumatriptan.

Choice B rationale: Mild emphysema is not typically a contraindication for sumatriptan.

Choice C rationale: Hyperthyroidism is not typically a contraindication for sumatriptan.

Choice D rationale: Sumatriptan, a medication used for migraines, may elevate blood pressure, so it would be questionable for a client with hypertension.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What information should the nurse include when teaching a young women's community service group about breast self-examination (BSE)?

Correct Answer is C

Explanation

For which client with severe migraine headaches would the nurse question an order for sumatriptan?

Correct Answer is D

Explanation

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