A nurse is conducting an assessment of a patient with rheumatoid arthritis.
Which aspect of the assessment is crucial to monitor for potential complications of the disease?
Blood pressure and heart rate.
Gastrointestinal symptoms.
Neurological function.
Joint deformities and signs of inflammation.
The Correct Answer is D
Choice A rationale:
Monitoring blood pressure and heart rate is essential for overall health assessment, but it is not specific to rheumatoid arthritis.
Joint deformities and signs of inflammation are more directly related to RA complications.
Choice B rationale:
Gastrointestinal symptoms can occur in some individuals with rheumatoid arthritis, especially if they are taking certain medications like nonsteroidal anti-inflammatory drugs (NSAIDs).
However, joint deformities and inflammation are more critical to monitor for potential complications.
Choice C rationale:
Neurological function is not typically a primary concern in rheumatoid arthritis.
Joint involvement and inflammation are more common complications that require monitoring.
Choice D rationale:
Joint deformities and signs of inflammation are crucial aspects of the assessment in rheumatoid arthritis.
These complications can lead to significant disability and decreased quality of life in individuals with RA.
Monitoring and early intervention are essential.
Questions
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
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.
Correct Answer is ["A","B","D"]
Explanation
Choice A rationale:
Administering analgesics for pain relief is an appropriate nursing intervention for managing RA.
Pain relief is an essential aspect of care for clients with RA to improve their quality of life and promote comfort.
Choice B rationale:
Teaching the client relaxation techniques is an appropriate nursing intervention.
Stress reduction can help manage RA symptoms, as stress can exacerbate inflammation and pain in RA patients.
Choice C rationale:
Encouraging smoking as a stress-relief method is not an appropriate nursing intervention.
Smoking is a known risk factor for RA and can worsen the condition.
It should be discouraged, especially in RA patients.
Choice D rationale:
Providing joint protection techniques is an important nursing intervention for managing RA.
Teaching clients how to protect their joints from further damage and manage activities of daily living can improve their overall functioning.
Choice E rationale:
Recommending high-impact aerobic exercise is not an appropriate nursing intervention for managing RA.
High-impact exercises can exacerbate joint pain and inflammation in RA patients.
Low-impact exercises, on the other hand, are often recommended.
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