Which technique should the nurse use when assessing for early signs of rheumatoid arthritis?

Observe the client's fingers.

Palpate the lymph nodes.

Observe the skin for lesions.

Palpate large joints for nodules.

Answer and Explanation

The Correct Answer is A

A. Observing the client's fingers is essential as early signs of rheumatoid arthritis often manifest in the small joints of the hands, including swelling, redness, and pain.
B. While lymph nodes may be palpated for other conditions, they are not directly indicative of rheumatoid arthritis.
C. Observing the skin for lesions is important for other conditions but is not a primary assessment technique for rheumatoid arthritis.
D. Palpating large joints for nodules is more relevant in later stages of the disease; early signs focus more on the small joints and their characteristics.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Observing body language and movement can provide clues about the client's pain but does not directly assess the quality of the pain experienced.
B. Identifying effective pain relief measures is important for managing pain but does not assess the quality of pain itself.
C. Asking the client to describe the pain directly assesses its quality, allowing the nurse to understand its characteristics, such as intensity, duration, and type (e.g., sharp, dull, throbbing).
D. Providing a numeric pain scale is useful for quantifying pain intensity but does not capture the qualitative aspects of the pain experience.

A. Employed as a construction worker. B. Reported history of alcoholism. C. Toenails appear thick and yellow. D. White blood cell count of 8,500/mm3 (8.5 x 10°/L).

Correct Answer is B

Explanation

A. While working as a construction worker may involve exposure to various pathogens, it is not as critical as the client's history of substance use.
B. A reported history of alcoholism is significant because terbinafine is metabolized by the liver, and a history of alcohol use could affect liver function, increasing the risk of liver toxicity. This finding requires further assessment before administration.
C. Thick and yellow toenails indicate a fungal infection, which is the reason for the terbinafine prescription but does not impact the immediate safety of administering the medication.
D. A white blood cell count of 8,500/mm³ is within the normal range and does not indicate an immediate concern related to medication administration.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Which technique should the nurse use when assessing for early signs of rheumatoid arthritis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

To assess the quality of an adult client's pain, which approach should the nurse use?

Correct Answer is C

Explanation

Before administering a newly prescribed dose of terbinafine HCL to a client with a fungal toenail infection, which assessment finding is most important for the nurse to address?

Correct Answer is B

Explanation

The nurse is performing a routine dressing change for a client with a stage 3 pressure injury that is red with significant granulation. The wound has a gauze dressing covering the area. Which action should the nurse implement?

A client with symptoms of influenza that started the previous day asks the clinic nurse about taking oseltamivir to treat the infection. Which response should the nurse provide?

The client with Clostridium difficile in the stool receives a prescription for vancomycin PO. Which action should the nurse take before administering the first dose?

Exhibits Which actions can the nurse do to assist the client in improving their ventilation and oxygenation? Select all that apply.

A client receives a prescription for vancomycin 500 mg IV every 8 hours. The medication is provided in, "500 mg per 100 mL of dextrose 5% in water." To administer the medication over an hour, the nurse should set the infusion pump to deliver how many mL/hr? (Enter numerical value only.)

A client with cholelithiasis has a gallstone lodged in the common bile duct and is unable to eat or drink without becoming nauseated and vomiting. Which finding should the nurse report to the healthcare provider?

An older female client is hospitalized with a fractured femur. During a routine nursing assessment, she repeatedly asks the nurse to "speak up" so that she can hear the questions. Which action is best for the nurse to take?

Exhibits The wound care nurse is preparing to change the client's dressing. For each technique item, click to indicate whether the technique is indicated or not indicated. Each row must have one option selected.