A nurse is assessing a client with suspected rheumatoid arthritis.
Which clinical presentation is characteristic of this condition?
"My knees are swollen and painful.”
"I experience morning stiffness for about 30 minutes.”
"I often have a high-grade fever.”
"My skin becomes dry and itchy.”
The Correct Answer is B
Choice A rationale:
Swollen and painful knees are common symptoms of rheumatoid arthritis (RA); however, they are not the most characteristic presentation.
The hallmark of RA is joint stiffness, especially in the morning.
Choice B rationale:
Morning stiffness lasting for about 30 minutes or longer is a classic and characteristic symptom of rheumatoid arthritis.
It results from inflammation in the synovial joints, making this the correct choice.
Choice C rationale:
Having a high-grade fever is not a typical presentation of rheumatoid arthritis.
Fever may indicate an infection or another underlying condition but is not specific to RA.
Choice D rationale:
Dry and itchy skin is not a common symptom of rheumatoid arthritis.
It is more likely related to dermatological or allergic conditions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
This statement is incorrect.
Avoiding all physical activity is not recommended for RA prevention.
In fact, regular and appropriate physical activity can help maintain joint function and reduce the risk of developing RA.
Choice B rationale:
This statement is correct.
Maintaining a healthy weight is a recommendation for reducing the risk of RA.
Obesity is a known risk factor for the development of RA.
Choice C rationale:
This statement is incorrect.
Smoking has been associated with an increased risk of RA, so it is not advisable to suggest that smoking has no impact on RA prevention.
Choice D rationale:
This statement is incorrect.
Genetics alone do not determine the prevention of RA.
While genetics may play a role in susceptibility, lifestyle factors and environmental exposures also contribute to the risk of developing the disease.
Correct Answer is B
Explanation
Choice A rationale:
Encouraging the client to avoid using affected joints as much as possible can lead to muscle atrophy and joint stiffness.
It is essential to promote movement and function in individuals with rheumatoid arthritis to prevent further complications.
Choice B rationale:
Teaching the client self-administration of corticosteroid injections can provide pain relief and reduce inflammation in affected joints.
This is a valuable intervention for managing rheumatoid arthritis symptoms.
Choice C rationale:
Providing emotional support and counseling to address body image concerns is essential for the overall well-being of the client.
However, it does not directly address joint deformities, which are the primary concern in this scenario.
Choice D rationale:
Instructing the client to apply ice packs to inflamed joints daily may provide temporary relief of symptoms but does not address joint deformities.
Ice should be used cautiously in RA, as extreme cold can worsen joint stiffness.
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