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

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A rationale: After visual inspection, the next step typically involves auscultation, which allows the nurse to listen for bowel sounds and gather information about

gastrointestinal function.

Choice B rationale: Percussion involves tapping the abdomen to assess density or abnormal masses but usually follows auscultation.

Choice C rationale: Palpation, both light and deep, follows percussion in the sequence of an abdominal examination.

Choice D rationale: Similar to light palpation, deep palpation follows auscultation and percussion in the sequence of an abdominal examination.

A. Human papillomavirus infection B. Genital herpes C. Gonorrhea D. Infectious mononucleosis

Correct Answer is C

Explanation

Choice A rationale: HPV is a sexually transmitted infection but must not necessarily be reported to the public health department.

Choice B rationale: Genital herpes should not be reported to the public health department.

Choice C rationale: Gonorrhea is a reportable disease, meaning that health care providers must notify the public health department of any confirmed cases. This helps to prevent the spread of the infection and provide treatment and counseling to the affected individuals and their partners.

Choice D rationale: Infectious mononucleosis should not be reported to the public health department.

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A nurse assesses a group of clients who have rheumatoid arthritis (RA). Which client would the nurse see first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse completes visual inspection of a client's abdomen. What technique should the nurse perform next in the abdominal examination?

Correct Answer is A

Explanation

A client comes to the outpatient department complaining of vaginal discharge, dysuria, and genital irritation. Suspecting a sexually transmitted disease (STD), Dr. Smith orders diagnostic tests of the vaginal discharge. Which STD must be reported to the public health department?

Correct Answer is C

Explanation

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A nurse assesses a group of clients who have rheumatoid arthritis (RA). Which client would the nurse see first?

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