A nurse is preparing to administer prednisone to a client for treatment of rheumatoid arthritis. Which of the following findings indicates to the nurse the treatment is effective?

Elevated blood glucose

Improved range of motion

Increased blood pressure

Improved mood

Answer and Explanation

The Correct Answer is B

A. Elevated blood glucose: Elevated blood glucose is a common side effect of prednisone due to its glucocorticoid activity. However, this does not indicate the effectiveness of treatment for rheumatoid arthritis.

B. Improved range of motion: Improved range of motion is an indication that the inflammation and pain associated with rheumatoid arthritis are being effectively managed by prednisone, making this the best indicator of treatment effectiveness.

C. Increased blood pressure: Increased blood pressure is another potential side effect of prednisone but does not indicate the effectiveness of the treatment for rheumatoid arthritis.

D. Improved mood: While prednisone can sometimes improve mood, this is not a direct indicator of its effectiveness in treating rheumatoid arthritis.

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Correct Answer is C

Explanation

A. "I can see that you're uncomfortable now, so we can wait until tomorrow." Delaying the medication could worsen the client's condition and does not address the underlying reason for the refusal.

B. "If you refuse these pills, you'll have to get an injection." This response is coercive and could damage trust between the client and the nurse. It does not explore the client's concerns.

C. "What is it about the medicine that you don't like?" This response is therapeutic as it opens a dialogue with the client to understand their concerns, which can help in addressing the reluctance and promoting adherence to the medication.

D. "You know you have to take this medicine for your own good." This response is paternalistic and dismisses the client's autonomy and concerns, which may lead to further resistance.

A. A desire to initiate conversation with roommates. B. Expansive and dramatic movements. C. Decelerated movements and flat affect. D. Overly excited interest in the admission.

Correct Answer is C

Explanation

A. A desire to initiate conversation with roommates. Clients with depression typically withdraw socially and may not seek to initiate conversations or engage with others.

B. Expansive and dramatic movements. Expansive and dramatic movements are more characteristic of mania, not depression.

C. Decelerated movements and flat affect. Depression often leads to psychomotor retardation, where the client’s movements are slow and their affect is flat, showing a lack of emotional expression.

D. Overly excited interest in the admission. An overly excited interest would be inconsistent with the symptoms of depression, which often include a lack of interest or enthusiasm.

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A nurse is preparing to administer prednisone to a client for treatment of rheumatoid arthritis. Which of the following findings indicates to the nurse the treatment is effective?

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