Patient Data
Which technique should the nurse use when assessing the client for early signs of rheumatoid arthritis?
Palpate the lymph nodes.
Observe the client's fingers.
Palpate large joints for nodules.
Observe the skin for lesions.
The Correct Answer is B
B Early signs of rheumatoid arthritis often manifest in the small joints of the hands and fingers. Common findings may include swelling, redness, warmth, and stiffness in these joints. Therefore, observing the client's fingers for any signs of inflammation or deformity can provide valuable clues for early detection of rheumatoid arthritis.
A Swollen lymph node may occur in certain types of arthritis, such as reactive arthritis but they are not typically a hallmark sign of rheumatoid arthritis.
C Rheumatoid nodules can develop in later stages of rheumatoid arthritis, but they are not typically present in the early stages of the disease.
D Rheumatoid arthritis is an autoimmune disease that can affect multiple organ systems, including the skin but characteristic skin lesions are not typically associated with the early stages of the condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Isoniazid is an antitubercular medication commonly used in the treatment of active tuberculosis (TB). One of the primary goals of TB treatment is to reduce the symptoms associated with the infection, such as cough and sputum production.
B. While weight loss and decreased appetite can be symptoms of active tuberculosis, the goal of treatment with isoniazid is to improve symptoms and promote recovery.
C. A positive sputum smear and culture would indicate ongoing TB infection or treatment failure, rather than the effectiveness of isoniazid therapy.
D. Vertigo (dizziness) and tinnitus (ringing in the ears) are not typical side effects or outcomes associated with isoniazid therapy.
Correct Answer is B
Explanation
B. Obstruction of bile flow leads to accumulation of bilirubin, a pigment produced by the breakdown of red blood cells, in the bloodstream and causes jaundice (yellowing of the sclera). Yellow sclera is a concerning sign that should be reported promptly to the healthcare provider as it indicates potential bile duct obstruction and impaired liver function
A. Amber urine refers to urine that is dark yellow, often indicating concentrated urine due to dehydration or certain medications. While amber urine may be noted in various conditions, it is not specifically indicative of a complication related to cholelithiasis.
C. While flatulence may be uncomfortable for the client, it is not typically indicative of a complication such as a gallstone lodged in the common bile duct.
D. belching may be uncomfortable for the client but is not typically indicative of a complication such as a gallstone lodged in the common bile duct.
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