Which assessment finding supports the client statement, "My feet swell all the time?"

2+ pitting edema of ankles bilaterally.

Capillary refill both feet greater than 3 seconds.

Pedal pulses weak and thready.

Positive Homan's sign bilaterally.

Answer and Explanation

The Correct Answer is A

A. 2+ pitting edema of ankles bilaterally. This is the best choice because it directly indicates fluid retention and swelling in the feet.

B. Capillary refill both feet greater than 3 seconds. Delayed capillary refill suggests poor circulation but does not directly confirm swelling.

C. Pedal pulses weak and thready. Weak pulses indicate poor circulation but do not confirm swelling.

D. Positive Homan's sign bilaterally. Positive Homan's sign can indicate deep vein thrombosis but does not directly relate to chronic swelling.

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Correct Answer is B

Explanation

A. Hyperactive bowel sounds. Hyperactive bowel sounds are typically higher pitched and more frequent.

B. Possible renal artery stenosis. This is the best choice as a low-pitched blowing sound can indicate a bruit from renal artery stenosis.

C. Normal borborygmus sounds. Borborygmi are normal, loud, gurgling bowel sounds, not low-pitched blowing sounds.

D. A minor variation. A low-pitched blowing sound should not be considered a minor variation as it can indicate a serious condition.

A. Pain increases with motion B. Small joints of the hand C. Fatigue and fever D. Symmetrical involvement E. Heberden nodes F. Morning stiffness quickly resolves G. Joint swelling

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"},"F":{"answers":"B"},"G":{"answers":"A"}}

Explanation

Pain increases with motion: In rheumatoid arthritis, pain typically is worse in the morning or at rest and may improve with movement. Joint pain increasing with motion is more characteristic of osteoarthritis.
Small joints of the hand: RA commonly affects the small joints of the hands, such as the metacarpophalangeal (MCP) and proximal interphalangeal (PIP) joints. This is a hallmark of RA.
Fatigue and fever: Fatigue and fever can be systemic symptoms associated with RA due to inflammation and systemic involvement.
Symmetrical involvement: RA is known for its symmetrical joint involvement, meaning it often affects the same joints on both sides of the body.
Heberden nodes: Heberden nodes are bony growths that occur in osteoarthritis, not RA. RA is characterized by inflammation rather than bony nodules.
Morning stiffness quickly resolves: In RA, morning stiffness typically lasts for more than an hour and may take longer to resolve. Quick resolution of morning stiffness is more characteristic of other conditions, such as osteoarthritis.
Joint swelling: Joint swelling is a common symptom of RA due to inflammation in the joints.

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Which assessment finding supports the client statement, "My feet swell all the time?"

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

While auscultating a client's abdomen, the nurse hears a low-pitched blowing sound in the upper midline area. Which is the likely indication of this finding?

Correct Answer is B

Explanation

Patient Data Exhibits Click to indicate which findings are indicative of rheumatoid arthritis or are not applicable to that disease. Each row must have only one response option selected.

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"},"F":{"answers":"B"},"G":{"answers":"A"}}

Explanation

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