A nurse is caring for a client in an outpatient clinic.
Complete the following sentence by using the lists of options. The client is at highest risk for developing
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}
- Rheumatoid arthritis is the most likely condition given the client’s bilateral wrist and shoulder stiffness lasting for several hours in the morning, fatigue, and loss of appetite. The elevated ESR and anemia further support chronic inflammation. Positive ANA, while not specific, can be present in RA and other autoimmune disorders.
- Osteoarthritis is incorrect because it typically presents with stiffness that improves within 30 minutes of activity, not lasting for several hours. It is also a non-inflammatory condition, whereas the client has elevated ESR and anemia, suggesting an inflammatory process.
- Gout is unlikely as it usually causes acute, severe joint pain with redness and swelling, often affecting the big toe. The client’s uric acid level is within normal range, making gout less probable.
- Carpal tunnel syndrome primarily causes numbness, tingling, and weakness in the hands due to median nerve compression. It does not typically cause prolonged morning stiffness, fatigue, or systemic inflammation.
- Positive ANA is not the best choice because while it is seen in rheumatoid arthritis, it is also present in other autoimmune diseases such as lupus. It does not specifically confirm RA.
- Normal WBC count does not support an inflammatory condition, as RA can lead to mild leukopenia, which is seen in the follow-up labs.
- Low blood pressure is not a defining feature of RA and does not correlate with the client’s symptoms or disease progression
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "I should not feed my baby anything for 2 hours prior to an immunization." There are no dietary restrictions before routine infant vaccinations. Feeding is encouraged as usual, and breastfeeding may help soothe the infant after immunization.
B. "My baby will receive the rotavirus immunization orally." The rotavirus vaccine is administered orally as a liquid, not as an injection. This vaccine helps protect against severe diarrheal illness caused by rotavirus.
C. "I should expect my baby to have a high fever for 24 hours after an immunization." Mild fever and irritability are common side effects, but a high fever is not expected. Persistent or severe fever should be reported to a healthcare provider.
D. "My baby will receive three doses of the meningococcal immunization before kindergarten." The meningococcal vaccine is not routinely given in infancy. It is typically administered at 11–12 years of age, with a booster at 16 years, unless the infant is at high risk due to certain medical conditions.
Correct Answer is B
Explanation
A. Apply a warm pack to the client's puncture site. Applying a warm pack to the puncture site is not appropriate immediately following cerebral angiography. Cold compresses are generally recommended initially to reduce swelling and discomfort, while warmth may be used later as advised by the healthcare provider.
B. Monitor for bleeding at the catheter site. Monitoring for bleeding at the catheter site is a critical action after cerebral angiography. The nurse should assess the site frequently for signs of hematoma or excessive bleeding, which can indicate complications from the procedure.
C. Replace the client's pressure dressing in 2 hr. The pressure dressing should not be replaced without specific orders from the healthcare provider. The nurse should assess the dressing for any signs of bleeding or drainage and follow the protocol for dressing changes as indicated.
D. Encourage the client to ambulate in 1 hr. Early ambulation may not be safe immediately after cerebral angiography, especially if the client has undergone a procedure involving sedation or if there is a risk of complications. The nurse should follow the provider's orders regarding activity restrictions and assess the client's readiness for ambulation based on their condition and vital signs.
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