Exhibits

The nurse is preparing the client's plan of care. A major component of the clients at home care is pain management.
Select the 3 most important interventions the nurse can educate the client with rheumatoid arthritis (RA) about to help with pain management.

Consult a dietitian to support nutrition and weight loss.

Perform fine motor activities for the client to decrease pain.

Avoid movement, as it will increase pain.

Eat a diet high in refined carbohydrates.

Apply ice packs to inflamed joints.

Facilitate paraffin wax dips to help soothe joints.

Answer and Explanation

Correct Answer : A,E,F

A. Consult a dietitian to support nutrition and weight loss: Excess weight puts added stress on joints, particularly weight-bearing joints. A dietitian can help create a balanced, anti-inflammatory diet and assist with weight loss to reduce strain on the joints and control inflammation.

B. Perform fine motor activities for the client to decrease pain: Fine motor activities may increase joint strain and discomfort in RA patients, particularly if done in excess or without adequate rest. Focus should be on rest and controlled activity.

C. Avoid movement, as it will increase pain: Complete immobilization of joints can lead to stiffness and further deterioration. While rest is important during flare-ups, gentle movement and exercises, such as range-of-motion exercises, are essential to prevent joint stiffness and preserve function.

D. Eat a diet high in refined carbohydrates: A diet high in refined carbohydrates is not beneficial for RA patients. Refined carbohydrates can increase inflammation and contribute to weight gain, which may worsen the symptoms of RA. A well-balanced, anti-inflammatory diet is recommended instead.

E. Apply ice packs to inflamed joints: Applying ice packs to inflamed joints can reduce swelling and provide relief from acute pain and inflammation. Cold therapy can help to numb the area, providing short-term relief and decreasing inflammation in affected joints for pain management in RA.

F. Facilitate paraffin wax dips to help soothe joints: Paraffin wax dips used to relieve pain and stiffness in joints affected by rheumatoid arthritis. The warm wax helps to relax muscles, increase blood flow, and reduce stiffness in the hands and wrists, providing comfort and improving joint mobility.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Tenderness: Tenderness during percussion could indicate an underlying issue, such as inflammation or infection, and is not a normal finding.

B. Pain: Pain during percussion may suggest problems like organ inflammation or distension and is not considered normal.

C. Musical and drumlike: This finding is normal and is often indicative of the presence of air or gas in the intestines, which is a common finding in older adults, especially those with less efficient digestion.

D. Absent sounds: Absent sounds could indicate bowel obstruction or other serious issues and are not a normal finding. Normal percussive sounds should be heard.

A. Maintain strict intake and output. B. Assess warmth of extremities. C. Keep head of bed raised 45 degrees. D. Monitor blood glucose level.

Correct Answer is A

Explanation

A. Maintain strict intake and output: Maintaining strict intake and output is essential in septic shock to monitor renal function and ensure adequate perfusion. Decreased urine output can indicate worsening shock or kidney failure, which requires prompt intervention.

B. Assess warmth of extremities: Early signs of septic shock often include cool or mottled extremities due to poor circulation, which should be addressed more through perfusion monitoring than by focusing solely on warmth.

C. Keep head of bed raised 45 degrees: Elevating the head of the bed may be helpful in certain situations, but it is not the most critical intervention for septic shock. The priority is to ensure proper hemodynamic monitoring, fluid resuscitation, and organ perfusion.

D. Monitor blood glucose level: While monitoring blood glucose is important in critically ill clients, it is not the immediate priority in septic shock. Sepsis often causes hyperglycemia, but managing fluid resuscitation and organ perfusion is the most urgent intervention.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Exhibits The nurse is preparing the client's plan of care. A major component of the clients at home care is pain management. Select the 3 most important interventions the nurse can educate the client with rheumatoid arthritis (RA) about to help with pain management.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse completes percussion of the abdomen on an older adult client. Which finding is considered normal for this client?

Correct Answer is C

Explanation

Correct Answer is A

Explanation

An older adult client with a history of heart failure is admitted with influenza and requests assistance to sit up in bed to eat lunch. The nurse observes the unlicensed assistive personnel (UAP) wearing a gown and gloves to assist the client. Which action should the nurse take?

A female client with aphasia is trying to verbalize feelings to the nurse and states, "I want...," but does not finish the statement. How should the nurse respond to this unfinished statement?

A client with heart failure is admitted to the medical surgical unit with pneumonia. To reduce cardiac workload, which intervention should the nurse include in the plan of care?

A client who had bariatric surgery 2 months ago is admitted because of vomiting and inability to tolerate food and liquids. The client is pain free. Which intervention should the nurse include in the client's plan of care?

Which oral medication can the nurse safely cut in half?

A client reports passing 2 to 3 small, hard stools per week since being placed on a low-residue diet three months ago. Which type of laxative should the nurse expect the healthcare provider to recommend first?

A client who is admitted after an episode of status epilepticus is stabilized. Which finding should the nurse use to determine the client's risk for recurrence of seizure activity?

The nurse is preparing to obtain a rapid coronavirus (COVID-19) test for a client who was exposed to the virus eight days ago. The client is experiencing fever, cough, and shortness of breath. Which action is most important for the nurse to take?

Exhibits

The nurse is preparing the client's plan of care. A major component of the clients at home care is pain management.
Select the 3 most important interventions the nurse can educate the client with rheumatoid arthritis (RA) about to help with pain management.