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. Storing the medication at room temperature is appropriate and indicates correct understanding.
B. Priming the inhaler with 7 pumps is excessive. Generally, ipratropium inhalers require only 2-3 pumps to prime before first use, indicating that the client needs additional teaching on the proper priming technique.
C. Attaching a spacer device is a beneficial action that can enhance medication delivery and is recommended for use with metered-dose inhalers.
D. Rinsing the mouth after each use is good practice to minimize the risk of oral side effects, such as dryness or irritation.

A. I will use my other inhaler in between uses. B. When I cough up sputum, the secretions should be less thick. C. I should use this medication in its handhaler every day. D. If I have sudden shortness of breath, I will use this inhaler.

Correct Answer is C

Explanation

A. Using another inhaler between doses may not align with the prescribed schedule for tiotropium, which is typically taken daily.
B. While reduced thickness of sputum is a desired outcome, it does not specifically indicate correct understanding of tiotropium use.
C. This statement indicates understanding, as tiotropium is a long-acting anticholinergic medication that should be used daily for maintenance therapy in COPD.
D. Tiotropium is not a rescue inhaler and should not be used for sudden shortness of breath; a short-acting bronchodilator is recommended for that situation.

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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

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?

Correct Answer is B

Explanation

A client diagnosed with chronic obstructive pulmonary disease (COPD) is given a new prescription for tiotropium via an inhalation device. Which statement indicates that the client understands the instructions for using this medication?

Correct Answer is C

Explanation

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