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. I can lift objects that are less than 10 pounds.

Here's a breakdown of why the other options are incorrect:

B. I can resume activities, such as sewing. - Sewing requires fine motor skills and close eye work, which can increase intraocular pressure and potentially worsen the detached retina.
C. I can go jogging after 2 weeks. - Strenuous activities like jogging can increase blood pressure and strain the eye, potentially leading to another retinal detachment.
D. I should bend at the waist when putting on my shoes. - Bending at the waist increases intraocular pressure and can strain the eye. It's recommended to sit down or use a stool to put on shoes.

A. I should take antibiotics when I have a virus B. I can visit my nephew who has chickenpox 5 days after the sores have crusted C. I should wash hands for 10 seconds with hot water D. I can clean my cat’s litter box during my pregnancy.”. Answer and explanation

Correct Answer is B

Explanation

B) I can visit my nephew who has chickenpox 5 days after the sores have crusted.

This statement indicates an understanding of infection prevention because it demonstrates knowledge about the contagious period of chickenpox. Visiting someone with chickenpox after the sores have crusted is a safe practice, as the person is no longer contagious.

The other options represent misconceptions about infection prevention:

A) Taking antibiotics for a viral infection is not effective, as antibiotics are used to treat bacterial infections, not viruses.

C) This statement is identical to option B and is incorrect.

D) Cleaning a cat's litter box during pregnancy is generally not recommended due to the risk of toxoplasmosis, a parasitic infection that can be transmitted through cat feces. Pregnant individuals are advised to have someone else handle cat litter or to use gloves and wash their hands thoroughly if they must do it themselves.

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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 providing discharge teaching to a client who is postoperative following the surgical repair of a detached retina. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

A nurse is teaching a prenatal class about infection prevention at a community center. Which of the following statements by a client indicates an understanding of the teaching

Correct Answer is B

Explanation

A nurse inadvertently administers 160 mg of valsartan PO to a client who was scheduled to receive 80 mg. Which of the following actions is the priority for the nurse to take?

A nurse is planning care for a toddler who has epiglottitis. Which of the following interventions should the nurse include?

A nurse is preparing to assess fetal heart tones for a client who is at 12 weeks of gestation. Which of the following actions should the nurse take?

A nurse is providing teaching about the use of crutches using a three-point gait to a client who has a tibia fracture. Which of the following actions by the client indicates an understanding of the teaching?

A nurse is caring for a client who received 50,000 units of IV heparin rather than the prescribed 5,000 units. Which of the following actions should the nurse take first?

A nurse is preparing to reposition a client who had a stroke. Which of the following actions should the nurse take?

A nurse is caring for a client who has experienced a stroke and is moving in with their adult child. Which of the following actions should the nurse encourage the client and family to take as they adjust to their new roles?

A nurse is caring for a client who is experiencing expressive aphasia and right hemiparesis following a stroke. Which of the following actions by the nurse best promotes communication among staff caring for the client?