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 D

Explanation

A. Measuring drainage from the Jackson-Pratt drain is important, but this is not the primary intervention to address post-laminectomy complications.

B. The patient should generally be positioned in a neutral, stable position, but not specifically prone with knees elevated, which may be uncomfortable or inappropriate for the cervical region.

C. Narcotics may be required for pain control, especially postoperatively, so advising the patient to avoid them is inappropriate.

D. Following a cervical spine laminectomy, the nurse should assess the client for any signs of nerve or spinal cord injury, such as difficulty speaking or breathing. These symptoms may indicate spinal cord compression or other complications.

A. reduce edema. B. reduce Inflammation and pain. C. prevent ankylosing of the joint. D. repair the cartilage.

Correct Answer is B

Explanation

A. While corticosteroids can reduce inflammation and pain, they do not directly target edema.

B. The primary purpose of corticosteroid injections into a joint affected by osteoarthritis is to reduce inflammation and pain, providing relief from the symptoms.

C. Corticosteroids do not prevent ankylosis (joint stiffness), which may occur with long-term osteoarthritis.

D. Corticosteroids do not repair cartilage but can help alleviate symptoms related to cartilage degradation.

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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 client diagnosed with cervical spine degeneration has undergone a laminectomy. Which intervention should the nurse implement?

Correct Answer is D

Explanation

A client with osteoarthritis of the left knee will undergo an injection of corticosteroids into the joint. The nurse notes that the primary reason for this injection is to:

Correct Answer is B

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?

The nurse is presenting a community health program on fracture risk reduction. Which topics should be included? (SELECT ALL THAT APPLY)

A client has been treated for low back pain which radiates down the posterior right leg. The client now has a new onset of urinary and bowel incontinence and weakness in both lower extremities. What is the nurse's first action?

Which of these deformities is associated with osteoarthritis? (SELECT ALL THAT APPLY).

The nurse is giving medications using the client's feeding tube. Which medication cannot be delivered in this way?

A client with arthritis is prescribed ibuprofen 800 mg PO TID for pain reduction in the knee. The nurse should instruct the client to report which of the following side effects to the physician? (SELECT ALL THAT APPLY)

The most effective way for a nurse to avoid a lumbosacral spine injury while caring for clients is to:

The client has fibromyalgia and asks the nurse why this occurs. Which statement by the client, would show that the explanation was understood?