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.
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","E","G"]
Explanation
A. Positioning the client with the head of the bed elevated helps improve lung expansion and facilitates better ventilation and oxygenation, reducing the work of breathing.
B. Avoid treating fever with antipyretics is not appropriate, as managing fever can help reduce metabolic demand and improve overall comfort, which aids in ventilation.
C. Encouraging the client to take breaks from the oxygen mask is not advisable, as consistent oxygen delivery is critical for maintaining adequate oxygen saturation, especially in cases of pneumonia.
D. Providing suctioning so the client does not have to cough may not be necessary; coughing is a natural mechanism to clear secretions and improve airway patency.
E. Assisting the client in ambulating safely promotes lung expansion, enhances circulation, and aids in the mobilization of secretions, contributing positively to ventilation and oxygenation.
F. Asking the client to do quick, shallow breaths is counterproductive, as it can lead to inadequate ventilation and decreased oxygenation; deep breathing is preferred.
G. Teaching the client to cough at least once an hour is essential for clearing secretions and improving lung function, thereby enhancing ventilation and oxygenation.
Correct Answer is C
Explanation
A. A positive sputum smear and culture would indicate that the tuberculosis infection is still active, which is not an expected outcome of effective treatment with isoniazid.
B. Vertigo and tinnitus are not expected outcomes of isoniazid therapy; they may indicate side effects or adverse reactions, not effectiveness.
C. Decreased cough and sputum would demonstrate the effectiveness of isoniazid in treating active tuberculosis, as the medication should lead to symptomatic improvement and reduced bacterial load.
D. Decreased appetite and weight loss can be associated with tuberculosis but are not direct indicators of medication effectiveness.
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