A nurse is collecting data from a client who reports having stiffness in her joints. Which of the following findings should indicate to the nurse that the client may have rheumatoid arthritis?

Butterfly rash on the face

Ulnar deviation

Heberden’s nodes

Bouchard’s nodes

Answer and Explanation

The Correct Answer is B

A.   A butterfly rash on the face is associated with systemic lupus erythematosus (SLE), not rheumatoid arthritis.
B.   Ulnar deviation of the joints is a characteristic finding in rheumatoid arthritis, caused by inflammation and destruction of the joint structures.
C.   Heberden’s nodes are associated with osteoarthritis, not rheumatoid arthritis.
D.   Bouchard’s nodes are also associated with osteoarthritis, not rheumatoid arthritis.

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Correct Answer is B

Explanation

A. Colchicine is specific for gout and does not treat osteoarthritis.
B. Colchicine works by reducing inflammation and pain during a gout flare-up, but it does not prevent future attacks or lower the level of uric acid in the blood. Therefore, it is not a long-term solution for gout.
C. Colchicine does not affect the formation of uric acid crystals, which are the cause of gout. It only reduces the inflammation caused by the crystals in the joints.
D. Colchicine may take several days to weeks to reduce the swelling and pain of a gout attack, depending on the severity and duration of the flare-up. It is not a fast- acting medication.

A. Antihistamines B. NSAIDS C. Salicylates D. Glucocorticoids

Correct Answer is C

Explanation

A. Antihistamines are not typically contraindicated in gout.
B. Nonsteroidal anti-inflammatory drugs (NSAIDs) do not affect uric acid levels and can be used to treat gout flare-ups.
C. Salicylates are a type of medication that can increase the level of uric acid in the blood, which can worsen gout symptoms. Uric acid is a waste product that forms crystals in the joints, causing inflammation and pain.
D. Glucocorticoids may be used to manage acute gout attacks and are not necessarily contraindicated, but long-term use should be monitored.

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A nurse is collecting data from a client who reports having stiffness in her joints. Which of the following findings should indicate to the nurse that the client may have rheumatoid arthritis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching about colchicine with client who has gout. Which of the following statements by the client indicates understanding of the teaching?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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