Which of the following instructions should be included in the teaching for the client with rheumatoid arthritis?
Alternate hot and cold packs to affected joints.
Take prescribed anti-inflammatory medications with meals.
Avoid exercise because it fatigues the joints.
Avoid weight-bearing activity.
The Correct Answer is D
A. While this can be helpful for managing pain and inflammation, it's not a universal recommendation and should be discussed with a healthcare provider.
B. This is important to prevent stomach upset, a common side effect of many anti-inflammatory medications.
C. Regular, low-impact exercise is crucial for maintaining joint function and reducing stiffness in people with rheumatoid arthritis.
D. While weight-bearing activities might need to be modified or avoided during flare-ups, complete avoidance of weight-bearing activity can lead to muscle weakness and further joint problems.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Auscultating breath sounds can provide valuable information about the presence of wheezing, crackles, or diminished breath sounds, which may indicate respiratory issues. However, while this assessment is important for understanding the underlying cause of dyspnea, it does not directly measure the patient's oxygenation status.
B. Observing chest expansion can help the nurse assess the mechanics of breathing and whether there are any restrictions in lung expansion. While this assessment is useful, it does not provide a clear indication of the patient's oxygen saturation levels or immediate need for supplemental oxygen.
C. Measuring capillary refill can give insights into peripheral perfusion and circulation, which can be affected by oxygenation. However, it is not the most direct or specific assessment for determining the need for supplemental oxygen in a patient with dyspnea.
D. Measuring oxygen saturation (using a pulse oximeter) provides a direct and objective assessment of the patient's oxygenation status. Normal oxygen saturation levels typically range from 95% to 100%. If the oxygen saturation is below the acceptable range (usually less than 92% in many clinical settings), this would indicate the need for supplemental oxygen.
Correct Answer is A
Explanation
A. DKA is characterized by the production of ketones, which can lead to a fruity or acetone-like odor on the breath. Additionally, the increased respiratory rate (Kussmaul breathing) occurs as the body attempts to compensate for metabolic acidosis by blowing off carbon dioxide.
B. While clients with diabetes may experience hunger, it is not a primary symptom of DKA. Hypotension (rather than hypertension) is more commonly observed due to dehydration and fluid loss associated with DKA.
C. Cold, clammy skin suggests the body is in a sympathetic state due to low blood sugar. While irritability can occur in various situations, it is not a hallmark sign of DKA.
D. Sweating and tremors are symptoms of low blood sugar levels and are not characteristic of DKA. In DKA, patients typically present with dry skin due to dehydration.
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