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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Encouraging the client to talk about his feelings is important, but understanding the client's current perception of his body image comes first to guide appropriate interventions.
B. Discussing coping strategies is relevant, but understanding the client's current perception helps tailor coping strategies to his specific concerns.
C. Determining the client's perception of his body image is the first step to assess the extent of the issue and plan interventions accordingly.
D. Assisting the client to acknowledge a distorted body image may be necessary, but understanding the client's current perception precedes interventions.
Correct Answer is D
Explanation
A. Surgical site infections are not specifically included in the HACRP but are significant in HAI prevention.
B. Catheter-associated urinary tract infections (CAUTIs) are not explicitly included in the HACRP but are important in HAI prevention.
C. Peripheral IV-related infections are not specifically included in the HACRP.
D. Central line-associated bloodstream infections (CLABSIs) are specifically targeted by the HACRP.
E. Infections related to chest tubes are not specifically included in the HACRP.
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