A nurse assesses a group of clients who have rheumatoid arthritis (RA). Which client would the nurse see first?
Client with a worse joint deformity since the last visit
Client with a red, hot, swollen right wrist
Client who has a puffy-looking area behind the knee
Client who reports jaw pain when eating
The Correct Answer is B
Choice A rationale: While joint deformities are concerning in RA, the immediate attention would be required for an acute, red, hot, swollen joint which could indicate an active inflammatory process.
Choice B rationale: Redness, heat, and swelling in a joint are signs of an acute flare in rheumatoid arthritis and might require urgent intervention to manage the inflammation.
Choice C rationale: Puffy-looking areas behind the knee might indicate joint involvement but might not require immediate attention as much as an acutely inflamed joint.
Choice D rationale: Jaw pain while eating can be a symptom of TMJ involvement in RA, but an acutely inflamed joint would generally take precedence.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale: Used primarily for gout and familial Mediterranean fever, not for Paget's disease.
Choice B rationale: Alendronate is a bisphosphonate commonly used to manage Paget's disease by slowing down bone breakdown and reducing the risk of complications.
Choice C rationale: Prednisone is a corticosteroid used for various inflammatory conditions but not typically prescribed for Paget's disease.
Choice D rationale: Used to lower uric acid levels and prevent gout attacks, not a primary medication for Paget's disease.
Correct Answer is B
Explanation
Choice A rationale: PCOS is not typically associated with genetic cancerous mutations.
Choice B rationale: Insulin resistance and hyperinsulinemia are commonly associated with PCOS, contributing to its pathophysiology.
Choice C rationale: While cortisol abnormalities can cause similar symptoms, it's not a primary finding in PCOS.
Choice D rationale: PCOS often involves hormonal imbalances, but it's not characterized by an estrogen deficit.
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