A nurse in a provider’s office is assessing a client who has rheumatoid arthritis (R

Low-grade fever

Weight loss

Anorexia

Knuckle deformity

Answer and Explanation

The Correct Answer is D

Choice A reason: Low-Grade Fever

Low-grade fever is a common early symptom of rheumatoid arthritis (RA). It is often associated with the body’s inflammatory response to the autoimmune activity occurring in the joints. While it can persist throughout the disease, it is not considered a late manifestation.

Choice B reason: Weight Loss

Weight loss can occur in RA due to chronic inflammation and its effects on metabolism and appetite. However, it is more commonly seen in the early to middle stages of the disease rather than as a late manifestation. Persistent inflammation can lead to muscle wasting and weight loss, but these are not specific to the advanced stages of RA.

Choice C reason: Anorexia

Anorexia, or loss of appetite, is another symptom that can be present in RA. It is often related to the chronic inflammation and pain associated with the disease, which can reduce a person’s desire to eat. Like weight loss, anorexia can occur at various stages of RA and is not specifically a late manifestation.

Choice D reason: Knuckle Deformity

Knuckle deformity is a late manifestation of rheumatoid arthritis. As RA progresses, the chronic inflammation can lead to joint damage and deformities, particularly in the hands and fingers. This includes changes such as ulnar deviation, swan neck deformities, and boutonnière deformities. These deformities result from the destruction of joint tissues and the formation of scar tissue, which can significantly impair hand function.

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Correct Answer is []

Explanation

The correct answers are:

Condition:

a. Pneumothorax
(After a thoracotomy and chest tube insertion, pneumothorax is a potential complication as air can accumulate in the pleural space, compromising lung expansion.)

Actions:

b. Administer oxygen as prescribed.
(To ensure adequate oxygenation while resolving the pneumothorax)
b. Ensure the chest tube is functioning properly.
(Ensuring the chest tube is removing air from the pleural space to restore lung expansion)

Parameters to Monitor:

c. Respiratory rate and effort.
(To assess the client's respiratory status and detect any changes indicating distress or worsening pneumothorax)
c. Oxygen saturation levels.
(To continuously assess oxygenation and detect any hypoxia)

Rationale:

A pneumothorax is more likely post-thoracotomy, especially with a chest tube insertion, as air is a primary concern in the pleural space. Monitoring respiratory parameters like oxygen saturation and respiratory effort helps evaluate the client's respiratory function and chest tube efficacy.

A. Promote oral hygiene. B. Ensure adequate nutrition. C. Prevent aspiration. D. Relieve the client’s pain.

Correct Answer is C

Explanation

Choice A reason:

Promoting oral hygiene is important for preventing infection and maintaining overall health, especially after surgery involving the mouth. However, it is not the immediate priority in the postoperative period.

Choice B reason:

Ensuring adequate nutrition is crucial for healing and recovery, but it is not the most urgent concern immediately after surgery. Nutritional needs can be addressed once the client is stable and the risk of complications has been minimized.

Choice C reason:

Preventing aspiration is the priority action. After surgery for a fractured mandible with intermaxillary fixation, the client is at high risk for aspiration due to the inability to open the mouth and clear secretions effectively. Aspiration can lead to serious complications such as pneumonia, making it the most critical concern.

Choice D reason:

Relieving the client’s pain is important for comfort and recovery, but it is not the highest priority immediately after surgery. Pain management should be addressed once the client’s airway and breathing are secure.

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A nurse in a provider’s office is assessing a client who has rheumatoid arthritis (R

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is []

Explanation

The correct answers are:

Rationale:

A nurse is caring for a client who has returned from the surgical suite following surgery for a fractured mandible. The client had intermaxillary fixation to repair and stabilize the fracture. Which of the following actions is the priority for the nurse to take?

Correct Answer is C

Explanation

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