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 ["A","B","C"]

Explanation

A. Social support systems are important for caregivers to be aware of available support networks.
B. Strategies for managing caregiver stress are crucial.
C. Knowledge of local resources can aid caregivers in providing optimal care.
D. While legal considerations may be relevant, they may not be a primary focus in this context.
E. While understanding grief is important, it may not be the primary focus of caregiver education for dementia.

A. Use clean technique when changing the catheter dressing. B. Change the catheter dressing every 2 days. C. Clean the access port on the CVAD line with povidone-iodine prior to use D. Perform hand hygiene for 10 sec prior to changing the catheter dressing. E. Use friction when cleaning the access port.

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

Explanation

A. Using clean technique helps prevent contamination during catheter dressing changes.
B. Changing the catheter dressing every 2 days may not be necessary, and frequency should be based on the facility's policy and the client's condition.
C. Povidone-iodine is not the recommended antiseptic for cleaning the access port.
Alcohol or chlorhexidine is typically recommended.
D. Proper hand hygiene is crucial to prevent introducing pathogens during catheter care.
E. Using friction when cleaning the access port is not a recommended practice and may cause damage. Cleaning should be done gently to avoid compromising the integrity of the site.

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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 in a community center is assisting with an educational session for caregivers of older adult clients who have dementia. Which of the following topics should the nurse include in the teaching session? (Select all that apply.)

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

Explanation

A nurse is assisting in the care of a client. Exhibits The nurse is assisting with catheter care for the client to prevent a central line-associated bloodstream infection (CLABSI bundle). Which of the following actions should the nurse take? Select all that apply.

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

Explanation

A nurse is reinforcing teaching with a client who has a superficial lesion. A biopsy indicates malignant melanoma. Which of the following treatment choices should the nurse include in the teaching?

A nurse is contributing to the plan of care for an older adult client who has a WBC of 2000/mm3 after three rounds of chemotherapy. Which of the following interventions should the nurse include in the plan?

A nurse is collecting data on a client who has an infection. Which of the following findings is a manifestation of sepsis?

A nurse is reinforcing teaching with a client about the physical effects of chemotherapy. Following the teaching, the nurse asks the client to describe one physical effect. The nurse is focusing on which element of the communication process?

A nurse is contributing to the plan of care for a client who has a disturbed body image following a motor vehicle crash that resulted in a right arm amputation. Which of the following actions should the nurse take first?

A nurse is preparing to administer amitriptyline 150 mg PO. The amount available is amitriptyline 75 mg/tablet. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is caring for a school-age child who has metastatic osteosarcoma. While the parents are away, the child is crying and asks the nurse if she is going to die. Which of the following is an appropriate response by the nurse?

A nurse is reinforcing teaching about prosthesis care for a client following a below-the- knee amputation. Which of the following statements should the nurse include in the teaching?