The client has been diagnosed with rheumatoid arthritis and asks, "What impact will this have on my activities of daily living in the years to come?" What is the best response by the nurse?

"I would suggest the use of any available remedy that might give you some comfort.

"Let's discuss some of your concerns."

"The changes will be subtle at first, so they won't be noticeable to others."

"It is hard to predict what the disease process has in store for any one individual."

Answer and Explanation

The Correct Answer is B

A. Suggesting remedies prematurely without fully understanding the client’s concerns might not address their specific needs.

B. The best response is to encourage open communication by acknowledging the client’s concerns and fostering a discussion. This approach helps the nurse understand the client’s worries and provide tailored information about rheumatoid arthritis and its potential impact on daily life.

C. The progression of rheumatoid arthritis is variable and can affect activities of daily living more noticeably over time; it’s not always subtle.

D. While predicting disease outcomes can be difficult, giving a more open response like option B will foster better communication and support.

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Correct Answer is ["A","C","D"]

Explanation

A. Alendronate should be taken in the morning on an empty stomach to ensure proper absorption.

B. Tingling around the mouth and nose is not a typical or expected side effect of alendronate.

C. Lying down after taking alendronate can cause esophageal irritation, so the client should remain upright for at least 30 minutes.

D. Drinking water helps with swallowing and ensures the medication reaches the stomach.

E. Chewing alendronate tablets is contraindicated, as it can increase the risk of esophageal irritation.

A. raising the right leg on pillows B. reducing activity. C. applications of ice to the right ankle. D. applying traction to the right leg. E. use of an ACE bandage or other wrap

Correct Answer is ["A","B","C","E"]

Explanation

A. Elevating the leg helps reduce swelling by promoting venous return and decreasing fluid accumulation.

B. Reducing activity helps prevent further injury and allows the healing process to begin.

C. Applying ice helps reduce swelling and pain in the acute phase of a sprain.

D. Traction is typically not used for a sprained ankle unless there is a fracture or more severe injury, which is not typical for sprains.

E. An ACE bandage or wrap provides compression, which helps control swelling and supports the injured area.

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The client has been diagnosed with rheumatoid arthritis and asks, "What impact will this have on my activities of daily living in the years to come?" What is the best response by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has osteoporosis and a new prescription for the biphosphonate alendronate. Which of the following instructions should the nurse provide? (SELECT ALL THAT APPLY)

Correct Answer is ["A","C","D"]

Explanation

Your neighbor returns home from the Emergency Department following treatment for a right ankle sprain and asks you, a nurse, to explain what will happen now that he is home. You recognize that continuing short term treatment will most likely include: (SELECT ALL THAT APPLY)

Correct Answer is ["A","B","C","E"]

Explanation

Post total joint replacement, the patient needs for the joint to heal prior to sexual activity. What position is best for the patient after a total joint replacement of the hip?

A client is receiving IV fluids at 100 ml per hour. The nurse is told in report at 1200 that there are 500 ml left in the bag. At what time should the nurse expect to hang a new bag? Report the time in military time.

Which of the following teaching instructions should be included for the patient with newly prescribed opioid analgesic for pain? (SELECT ALL THAT APPLY).

A client with traumatic injuries has a comminuted open fracture of the femur that has been placed in an external fixator. The nurse recognizes that compartment syndrome is associated with which clinical assessment finding?

A client with systemic lupus erythematosis has a history of tuberculosis exposure that has been treated. Which medication should the nurse question as possible cause for the lupus symptoms?

The nurse is caring for a patient who returned 4 hours ago from having a lumbar laminectomy. Which change in assessment requires further action?

A client returns to the unit after undergoing a total hip replacement with a cemented prosthesis. Which order should the nurse anticipate regarding weight bearing status?

A client fractured the right ankle which was casted with a plaster of Paris cast. Before discharge, the nurse gives instructions for cast care. Which statement made by the client indicates that further teaching is needed?