A nurse in a provider’s office is assessing a client who has rheumatoid arthritis (RA). Which of the following findings is a late manifestation of this condition?

Low-grade fever

Weight loss

Anorexia

Knuckle deformity

None

Answer and Explanation

The Correct Answer is D

Choice A reason: Low-Grade Fever

Low-grade fever is a common early symptom of rheumatoid arthritis (RA). It is often associated with the body’s inflammatory response to the autoimmune activity occurring in the joints. While it can persist throughout the disease, it is not considered a late manifestation.

Choice B reason: Weight Loss

Weight loss can occur in RA due to chronic inflammation and its effects on metabolism and appetite. However, it is more commonly seen in the early to middle stages of the disease rather than as a late manifestation. Persistent inflammation can lead to muscle wasting and weight loss, but these are not specific to the advanced stages of RA.

Choice C reason: Anorexia

Anorexia, or loss of appetite, is another symptom that can be present in RA. It is often related to the chronic inflammation and pain associated with the disease, which can reduce a person’s desire to eat. Like weight loss, anorexia can occur at various stages of RA and is not specifically a late manifestation.

Choice D reason: Knuckle Deformity

Knuckle deformity is a late manifestation of rheumatoid arthritis. As RA progresses, the chronic inflammation can lead to joint damage and deformities, particularly in the hands and fingers. This includes changes such as ulnar deviation, swan neck deformities, and boutonnière deformities. These deformities result from the destruction of joint tissues and the formation of scar tissue, which can significantly impair hand function.

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Correct Answer is B

Explanation

Choice A reason:

Turn the client every 4 hours: Regularly turning the client can help prevent pressure ulcers and improve overall circulation, but it is not the most effective measure specifically for preventing ventilator-associated pneumonia (VAP). While repositioning can help with lung expansion and secretion clearance, oral care is more directly related to reducing VAP risk.

Choice B reason:

Brush the client’s teeth with a suction toothbrush every 12 hours: Oral care is crucial in preventing VAP. Bacteria from the mouth can easily travel to the lungs, especially in intubated patients. Using a suction toothbrush helps remove dental plaque and secretions, reducing the bacterial load and the risk of infection. This practice is a key component of VAP prevention bundles.

Choice C reason:

Provide humidity by maintaining moisture within the ventilator tubing: While maintaining humidity is important to prevent drying of the respiratory mucosa and to help with secretion clearance, it does not directly reduce the risk of VAP. Proper humidification is necessary for patient comfort and respiratory function but is not a primary VAP prevention strategy.

Choice D reason:

Position the head of the client’s bed in the flat position: Positioning the head of the bed flat can increase the risk of aspiration, which is a significant risk factor for VAP. The head of the bed should be elevated to 30-45 degrees to reduce the risk of aspiration and promote better lung expansion.

Correct Answer is ["3"]

Explanation

Step 1: Identify the prescribed dose.

The prescribed dose is 30 mg.
Result: 30 mg.

Step 2: Identify the strength of the available tablets.

The available tablets are 10 mg each.
Result: 10 mg/tablet.

Step 3: Calculate the number of tablets to administer.

Number of tablets = (Prescribed dose in mg) ÷ (Strength of available tablets in mg/tablet).
Number of tablets = 30 mg ÷ 10 mg/tablet.
Number of tablets = 3 tablets.
= 3 tablets.

So, the nurse should administer 3 tablets of fluoxetine per dose.

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A nurse in a provider’s office is assessing a client who has rheumatoid arthritis (RA). Which of the following findings is a late manifestation of this condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has an endotracheal tube and is receiving mechanical ventilation. Which of the following actions should the nurse take to reduce the risk of ventilator-associated pneumonia?

Correct Answer is B

Explanation

A nurse is preparing to administer fluoxetine 30 mg PO daily to a client. The amount available is fluoxetine 10 mg tablets. How many tablets should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero)

Correct Answer is ["3"]

Explanation

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