A case manager is meeting with a client who asks about using alternative therapies to manage her rheumatoid arthritis.

“We can review some information to help you select a safe alternative practitioner.”.

“If there are therapies available to you, your provider will tell you about them.”.

“I’m sure you can find alternative remedies through an online support group.”.

“Feel free to try whatever therapies that fit within your personal belief system.”.

Answer and Explanation

The Correct Answer is A

The correct answer is choice A: “We can review some information to help you select a safe alternative practitioner.” This statement shows respect for the client’s interest in alternative therapies and offers guidance on how to choose a reliable and qualified provider. Alternative therapies can provide some benefits for people with rheumatoid arthritis, such as reducing pain, inflammation, and stiffness, but they should be used as a complement to conventional treatments and not as a substitute.

Choice B is wrong because it implies that the client has no role in deciding their own treatment plan and that alternative therapies are not worth considering.

This may discourage the client from sharing their preferences and concerns with the provider.

Choice C is wrong because it suggests that online support groups are a reliable source of information about alternative remedies, which may not be true.

Online sources may contain inaccurate, misleading, or harmful information that could jeopardize the client’s health and safety.

Choice D is wrong because it encourages the client to try any therapy that fits their personal belief system, without considering the evidence, effectiveness, or potential risks of such therapies. Some alternative therapies may interact with medications, cause side effects, or worsen the condition.

Normal ranges for rheumatoid arthritis are not applicable in this question, as it is not asking about laboratory values or disease activity measures. However, some common tests used to diagnose and monitor rheumatoid arthritis include erythrocyte sedimentation rate (ESR), Creactive protein (CRP), rheumatoid factor (RF), anti-cyclic citrullinated peptide (anti-CCP) antibodies, and joint ultrasound or X-ray.

The normal ranges for these tests may vary depending on the laboratory and the method used.

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Correct Answer is A

Explanation

The correct answer is A. Beneficence. Beneficence is the ethical principle of doing good for the patient and promoting their well-being.

The nurse is demonstrating beneficence by sitting with the client to provide comfort and support during a difficult time.

Choice B is wrong because fidelity is the ethical principle of keeping promises to the patient and being loyal and faithful.

The nurse is not making or keeping any promises to the client in this scenario.

Choice C is wrong because autonomy is the ethical principle of respecting the patient’s right to make their own decisions and choices.

The nurse is not interfering with the client’s autonomy in this scenario.

Choice D is wrong because veracity is the ethical principle of telling the truth to the patient and being honest and trustworthy.

The nurse is not lying or withholding information from the client in this scenario.

A. Instruct the client to avoid coughing during the procedure B. Inform the client that he will be NPO for 6 hr prior to the procedure C. Position the client on the affected side for 4 hr following the procedure. D. Place the client in the prone position during the procedure

Correct Answer is A

Explanation

The correct answer is choice A. Instruct the client to avoid coughing during the procedure.

A thoracentesis is a procedure that involves inserting a needle into the pleural space to remove excess fluid or air. Coughing can increase the risk of pneumothorax (collapsed lung) or bleeding during the procedure.

Choice B is wrong because the client does not need to be NPO (nothing by mouth) for 6 hr prior to the procedure. There is no risk of aspiration during a thoracentesis.

Choice C is wrong because the client should be positioned on the unaffected side for 4 hr following the procedure. This allows the affected lung to re-expand and prevents fluid from accumulating in the pleural space again.

Choice D is wrong because the client should not be placed in the prone position during the procedure. The prone position makes it difficult to access the pleural space and can compromise breathing.

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A case manager is meeting with a client who asks about using alternative therapies to manage her rheumatoid arthritis.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client whose partner recently died. The nurse sits with the client to provide comfort. Which of the following ethical principles is the nurse demonstrating?

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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