The nurse is assisting with the care of a patient with rheumatoid arthritis (RA). What should the nurse consider when providing care?
Injury and age are the greatest contributors to disease development.
Acutely inflamed joints will respond best to heat therapy.
It is essential to monitor all body systems for effects of the disease.
Exercise is poorly tolerated and frequent rest is needed.
The Correct Answer is C
Choice A reason: While injury and age can be risk factors, they are not the greatest contributors to RA, which is an autoimmune disease.
Choice B reason: Heat therapy can help relieve pain in some cases, but it is not always the best response for acutely inflamed joints; cold therapy is often recommended to reduce inflammation.
Choice C reason: RA can affect multiple body systems beyond the joints, including the cardiovascular and respiratory systems, so it is essential to monitor all body systems.
Choice D reason: Exercise is actually beneficial for patients with RA to maintain joint function and muscle strength; rest is important, but should be balanced with physical activity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Notifying the registered nurse is important but should come after initially assessing the patient's immediate needs.
Choice B reason: Raising the head of the bed may help with breathing but does not address the cause of the patient's distress.
Choice C reason: Sitting with her and listening to her concerns is supportive but should follow an initial assessment of why she is sobbing and gasping for breath.
Choice D reason: Asking the patient what is wrong is the first step in assessing the situation and providing appropriate care.
Correct Answer is C
Explanation
Choice A reason: Surgical site infection is an infection that occurs after surgery in the part of the body where the surgery took place.
Choice B reason: Hypercapnia is the presence of higher-than-normal levels of carbon dioxide in the blood.
Choice C reason: Malignant hyperthermia is a life-threatening pharmacogenetic reaction to certain general anesthesia, characterized by hypermetabolism resulting in high body temperature, rigid muscles, and rapid heart rate.
Choice D reason: Hypertensive crisis is a severe elevation in blood pressure, often requiring immediate medical attention.
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