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.

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Correct Answer is B

Explanation

A. While attaching humidification can be beneficial for patients with respiratory issues, the immediate priority is to assess the client's oxygenation status.
B. Obtaining a pulse oximetry reading is crucial to determine the client's oxygen saturation level and guide further interventions.
C. Coaching through huff coughing is helpful, but it is more important to first assess oxygenation to understand the severity of the dyspnea.
D. Providing a nebulizer treatment can be an important intervention, but it should follow the assessment of the client's oxygen levels to determine if immediate treatment is necessary.

Correct Answer is []

Explanation

Condition: The combination of severe abdominal pain, elevated inflammatory markers, and risk factors, along with the need for urgent care and surgical evaluation, suggests that GERD may be a significant underlying issue, especially in the context of potential complications.

Actions to Take

Prepare for surgery: Given the client's presentation of severe abdominal pain, elevated white blood cell count, and possible abdominal rigidity, surgical intervention may be necessary to rule out conditions like acute cholecystitis or perforation.
Transfer to high-risk level of care: Due to the client's elevated vital signs, including tachycardia and fever, along with the severe pain radiating to the shoulder, close monitoring in a high-risk area is warranted.

Parameters to Monitor

Pain: Regular assessment of the client's pain level is crucial to evaluate the effectiveness of interventions and to monitor any changes in the severity of the pain.
Signs and symptoms of abdominal perforation: Monitoring for indications such as increased abdominal tenderness, rigidity, fever, and changes in vital signs is essential to detect any complications promptly.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client with chronic obstructive pulmonary disease who develops an onset of dyspnea and tachypnea with coughing. After positioning the client upright, which action should the nurse take next?

Correct Answer is B

Explanation

Exhibits Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.

Correct Answer is []

Explanation

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?

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A client with psoriasis returns to the clinic reporting the persistence of several silvery, scaly areas on the elbows and palms that frequently burn and sometimes bleed. Which prescription should the nurse teach the client to use for the skin condition?

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