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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
Choice A rationale:
Swollen joints. Swelling is a common symptom of RA due to inflammation in the joints.
Choice B rationale:
Fatigue and loss of appetite. These are systemic symptoms that can occur with RA123.
Choice C rationale:
Low-grade fever. This can occur in RA due to the body’s immune response.
Choice D rationale:
Knuckle deformity. Over time, RA can cause deformities in the joints, including the knuckles.
Correct Answer is A
Explanation
Choice A rationale:
A clear liquids diet is often recommended for patients with gastrointestinal issues as it allows the digestive system to rest. However, this diet lacks adequate nutrition for long-term use.
Choice B rationale:
A regular diet may exacerbate the patient’s abdominal discomfort, especially since her pain worsens after meals.
Choice C rationale:
Maintaining the patient NPO (nothing by mouth) is typically done before procedures that require anesthesia, such as a HIDA scan, to reduce the risk of aspiration.
So, the correct answer is Choice C: Maintain patient NPO. This is because the patient is scheduled for a HIDA scan, and it’s standard practice to keep patients NPO prior to such procedures.
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