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:
Ibuprofen is not the first step in medication therapy for OA. It can be used for pain relief but is not recommended during pregnancy.
Choice B rationale:
Restricting all physical activity is not recommended. Moderate exercise can help maintain joint flexibility and strength.
Choice C rationale:
Pregnancy can impact OA due to weight gain and hormonal changes. However, keeping weight gain within recommended limits can help manage symptoms.
Choice D rationale:
Pain from OA may increase due to pregnancy weight gain. This is an important point to include in teaching.

A. "You are fatigued because you sleep too many hours.”. B. "Have you thought about getting a new mattress.”. C. "Do you use electronics at bedtime.”. D. "Your fatigue is most likely due to a sleep disturbance such as insomnia.”. E. "Have you been worried about anything in particular?".

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.

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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?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing discharge teaching for a pregnant client who has been recently diagnosed with Osteoarthritis. Which of the following is most important to include in the patient teaching?.

Correct Answer is D

Explanation

Correct Answer is D

Explanation

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