A nurse is caring for a client diagnosed with rheumatoid arthritis (RA). The nurse is assessing the client to determine the effectiveness of the current treatment regimen. Which finding would be the best indicator that the client's RA management is effective?

The client expresses feelings of frustration and difficulty coping with the chronic nature of RA.

The client's C-reactive protein (CRP) levels have remained stable since the initiation of treatment.

The client demonstrates improved range of motion in the affected joints during physical therapy sessions.

The client's radiographic images show no progression of joint erosion compared to images from six months ago.

Answer and Explanation

The Correct Answer is D

A. The client expresses feelings of frustration and difficulty coping with the chronic nature of RA: This indicates the client is struggling emotionally, which is common in chronic illnesses but does not directly reflect the effectiveness of the RA treatment regimen.

B. The client's C-reactive protein (CRP) levels have remained stable since the initiation of treatment: While stable CRP levels can indicate control of inflammation, they do not show improvement. Ideally, effective treatment would reduce CRP levels.

C. The client demonstrates improved range of motion in the affected joints during physical therapy sessions: Improved range of motion is a positive outcome, but it may not fully represent the overall effectiveness of the RA treatment, as joint damage can still progress.

D. The client's radiographic images show no progression of joint erosion compared to images from six months ago: This is the best indicator of effective RA management as it directly shows that the treatment is preventing further joint damage, which is a primary goal in managing RA.

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Correct Answer is ["A","C","D"]

Explanation

A. Health care providers should be told about the diagnosis to deliver safe care: Health care providers need to know the client's diagnosis to provide appropriate and safe care. This includes administering medications, assessing for opportunistic infections, and implementing preventive measures.

B. Most people in current society would be accepting of the diagnosis: While stigma surrounding HIV/AIDS has decreased over time, disclosure is a personal decision, and not all individuals may be accepting of the diagnosis. Therefore, this statement may not always be accurate.

C. Intimate partners should be told so they can protect themselves: Disclosing the diagnosis to intimate partners is essential for their health and well-being, as it allows them to take necessary precautions to prevent transmission of the virus.

D. The diagnosis is reportable to the state health department: In many jurisdictions, HIV/AIDS diagnoses are reportable to the state health department for surveillance and public health monitoring purposes. This reporting is typically done without disclosing the client's identity.

E. Secrecy about the diagnosis is the privilege of the client: While confidentiality is crucial, it's important to balance it with public health considerations and the well-being of others who may be at risk of infection.

A. Wheezing in all lung fields. B. Pitting edema in bilateral lower extremities. C. Oral fluid intake of 2000 mL in 24 hours. D. Significant fatigue for more than one month.

Correct Answer is B

Explanation

A. Wheezing in all lung fields may indicate respiratory issues but does not directly support the diagnosis of Excess Fluid Volume.
B. Pitting edema in bilateral lower extremities is a classic sign of fluid overload, which directly supports the diagnosis of Excess Fluid Volume.

C. An oral fluid intake of 2000 mL in 24 hours is within normal limits for an adult and does not necessarily indicate Excess Fluid Volume without other symptoms.
D. Significant fatigue for more than one month could be related to a variety of conditions and is too nonspecific to support the diagnosis of Excess Fluid Volume without additional assessment data.

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A nurse is caring for a client diagnosed with rheumatoid arthritis (RA). The nurse is assessing the client to determine the effectiveness of the current treatment regimen. Which finding would be the best indicator that the client's RA management is effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client diagnosed with autoimmune deficiency syndrome (AIDS) expresses to a nurse that they will never permit disclosure of their diagnosis to anyone. The nurse should provide the client with which of the following education? (Select all that apply.)

Correct Answer is ["A","C","D"]

Explanation

A nurse is planning care for a client with acute kidney injury. The nurse should recognize that which assessment data best supports the nursing diagnosis of Excess Fluid Volume?

Correct Answer is B

Explanation

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