A nurse is caring for a client who has been recently diagnosed with rheumatoid arthritis (RA). Which assessment finding does the nurse expect to assess?.

Symmetrical joint pain that is relieved with rest.

Symmetrical joint pain.

Bouchard's nodes in the middle joints.

Unilateral pain in the weight-bearing joints.

Answer and Explanation

The Correct Answer is B

Choice A rationale:
Symmetrical joint pain that is relieved with rest. Rheumatoid arthritis (RA) is characterized by symmetrical joint pain, but the pain is not typically relieved with rest.
Choice B rationale:
Symmetrical joint pain. This is a common symptom of RA, as the disease often affects the same joints on both sides of the body.
Choice C rationale:
Bouchard’s nodes in the middle joints. Bouchard’s nodes are more commonly associated with osteoarthritis, not RA123.
Choice D rationale:
Unilateral pain in the weight-bearing joints. RA typically causes symmetrical joint pain, not unilateral.

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Correct Answer is D

Explanation

Choice A rationale:
Sleeping too many hours can indeed cause fatigue. However, this is not the most likely cause in this case as the patient has fibromyalgia, which is often associated with sleep disturbances.
Choice B rationale:
While a new mattress might improve sleep quality, there’s no information suggesting that the patient’s mattress is a problem.
Choice C rationale:
Using electronics at bedtime can interfere with sleep, but again, there’s no information suggesting that this is the case here.
Choice D rationale:
Fibromyalgia is often associated with sleep disturbances such as insomnia. This is the most likely cause of the patient’s fatigue.
Choice E rationale:
Worrying can indeed cause fatigue, but there’s no information suggesting that the patient has been worried about anything in particular.

A. Reassess the incision site for bleeding. B. Increase the client's IV fluids. C. Administer p.o. pain medication. D. Assist the client to the bathroom.

Correct Answer is D

Explanation

Choice A rationale:
Reassess the incision site for bleeding. This task requires clinical judgment and should be performed by the nurse.
Choice B rationale:
Increase the client’s IV fluids. This task involves medication administration and should be performed by the nurse.
Choice C rationale:
Administer p.o. pain medication. This task involves medication administration and should be performed by the nurse.
Choice D rationale:
Assist the client to the bathroom. This is a task that can be safely delegated to unlicensed assistive personnel.

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A nurse is caring for a client who has been recently diagnosed with rheumatoid arthritis (RA). Which assessment finding does the nurse expect to assess?.

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

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The nurse is caring for a client who is post-op day 1 from a laparoscopic cholecystectomy. Which task should the nurse delegate to the unlicensed assistive personnel?

Correct Answer is D

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