A nurse is collecting data from a client who reports having stiffness in her joints. Which of the following findings should indicate to the nurse that the client may have rheumatoid arthritis?

Butterfly rash on the face

Ulnar deviation

Heberden’s nodes

Bouchard’s nodes

Answer and Explanation

The Correct Answer is B

A.   A butterfly rash on the face is associated with systemic lupus erythematosus (SLE), not rheumatoid arthritis.
B.   Ulnar deviation of the joints is a characteristic finding in rheumatoid arthritis, caused by inflammation and destruction of the joint structures.
C.   Heberden’s nodes are associated with osteoarthritis, not rheumatoid arthritis.
D.   Bouchard’s nodes are also associated with osteoarthritis, not rheumatoid arthritis.

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Correct Answer is D

Explanation

A. While discomfort can occur, it is not an expected or acceptable part of end-of-life care. Effective pain management is a key priority, and discomfort should be addressed promptly to ensure the client’s comfort and dignity.

B. While true, this statement does not directly address the expectation of discomfort at the end of life.
C. While pain can be present in older adults, the statement does not specifically address the end-of-life context.
D.Fear of addiction is a common concern among clients and families, even at the end of life. Nurses should educate clients and families about the importance of managing pain effectively and emphasize that addiction is not a concern when opioids are used appropriately for end-of-life care. This helps alleviate anxiety and encourages adherence to prescribed pain management regimens.

A. Distraction B. Biofeedback C. Guided imagery D. Meditation

Correct Answer is A

Explanation

A. This statement reflects a sense of blame and responsibility but may not necessarily indicate a body image disturbance.A. Listening to music is a form of distraction, diverting the client's attention away from pain.
B. Biofeedback involves using electronic monitoring to help individuals gain conscious control over physiological processes, not applicable in this context.
C. Guided imagery involves using the imagination to create calming mental images, not directly related to listening to music.
D. Meditation involves a state of focused attention and may not be as directly applicable during a medical procedure.
B. This statement may indicate frustration with physical therapy progress but does not directly address body image.
C. This statement reflects guilt or self-blame but may not necessarily indicate a body image disturbance.
D. This statement directly addresses the client's perception of their body image following the amputation.

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A nurse is collecting data from a client who reports having stiffness in her joints. Which of the following findings should indicate to the nurse that the client may have rheumatoid arthritis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a newly licensed nurse about pain management during the end of life. Which of the following statements should the nurse make?

Correct Answer is D

Explanation

A client is about to undergo a closed reduction of a fracture. In addition to analgesia, the nurse suggests that the client listen to an audiotape of music. Which of the following nonpharmacologic interventions for pain management is the nurse using?

Correct Answer is A

Explanation

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