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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Free Nursing Study Resources

Correct Answer is B

Explanation

A. Step-by-step verbal directions may be confusing for clients with Huntington's disease due to cognitive and motor difficulties.
B. Escorting the client to the cafeteria ensures safety and provides direct assistance, which is crucial given the potential for impaired judgment and coordination in Huntington's disease.
C. While using a map might help some clients, it may overwhelm or confuse others, particularly those with cognitive impairments associated with Huntington's disease.
D. Orienting the client to a color-coding system could also be confusing andmay not be an effective method of navigation for someone with cognitive challenges.

A. Oxygen saturation greater than 94% B. PaCO2 55 mm Hg per arterial blood gas C. Symmetric chest expansion D. Rhonchi in the right lung E. Client ambulates without shortness of breath F. Diminished breath sounds in the right lung

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

Explanation

Oxygen saturation greater than 94% indicates improved oxygenation, showing the treatment's effectiveness.
PaCO2 55 mm Hg per arterial blood gas indicates hypercapnia, suggesting ineffective treatment as normal levels should be lower.
Symmetric chest expansion suggests effective treatment as it reflects improved lung function.
Rhonchi in the right lung may indicate retained secretions, suggesting ineffective treatment.
Client ambulates without shortness of breath demonstrates effective treatment, as the patient can move without respiratory distress.
Diminished breath sounds in the right lung could indicate ongoing consolidation or fluid, suggesting ineffective treatment.

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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

Which approach is best for the nurse to use when directing a client with Huntington's disease to the hospital cafeteria?

Correct Answer is B

Explanation

Exhibits The client undergoes several days of antibiotic and respiratory treatment for his pneumonia. Mark whether the assessment findings indicate that the treatment was effective or ineffective. Each row must have one option selected.

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

Explanation

The nurse is discussing dietary choices with a client who is newly diagnosed with celiac disease. Which menu choice by the client indicates a need for further teaching?

Exhibits The nurse is preparing to set up the oxygen administration and apply the simple face mask. Which should the nurse do before applying the face mask? Select that apply.

A client with chronic cirrhosis has esophageal varices. It is most important for the nurse to monitor the client for the onset of which problem?

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?

A client with a history of chronic obstructive pulmonary disease (COPD) receives a new prescription for an ipratropium inhaler. Which action indicates to the nurse that additional teaching is needed?

Which instruction should the nurse include in the discharge teaching plan for an adult client with hypernatremia?

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

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