A nurse is reinforcing teaching with a client who has rheumatoid arthritis. Which of the following statements by the client indicates understanding of the information?

I will schedule important tasks in the afternoon.

I need to perform range-of-motion of my joints if I notice they are red.

I should stop exercising if 1 experience any discomfort.

I can use heat or cold to help relieve my pain

Answer and Explanation

The Correct Answer is D

A.   Scheduling important tasks in the afternoon is a good strategy for managing fatigue, it does not directly address pain relief.
B.   Performing range-of-motion if joints are red may exacerbate inflammation and is not a recommended practice.
C.   Stopping exercising if experiencing discomfort is essential to differentiate between normal discomfort and pain that may indicate potential harm. Continuing with mild discomfort may be appropriate.
D.   Both heat and cold applications can provide relief from rheumatoid arthritis pain and inflammation.

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Correct Answer is C

Explanation

A. Shock typically results in tachycardia as the body compensates for decreased perfusion.
B. In shock, there is often decreased urine output due to decreased perfusion to the kidneys.
C. A hallmark sign of shock is low blood pressure as a result of inadequate tissue perfusion.
D. Bowel sounds may be diminished rather than hyperactive in cases of shock.

A. Provide oxygen at 6 L/min via nasal cannula. B. Apply cold compresses to joints. C. Perform passive ROM exercises. D. Administer IV fluids E. Obtain consent for a blood transfusion F. Restrict fluid intake to 1,400 mL/day G. Administer meperidine H. Encouraging bedrest

Correct Answer is ["B","C","G","H"]

Explanation

A. Providing oxygen at 6 L/min via nasal cannula is not indicated based on the information provided. The client denies shortness of breath, and vital signs are within normal limits.
B. Applying cold compresses to joints can help reduce swelling and alleviate pain in the extremities.
C. Performing passive range of motion (ROM) exercises is appropriate to maintain joint flexibility and prevent contractures.
D. Administering IV fluids is not explicitly indicated based on the information provided. Fluid management should be individualized based on the client's condition and underlying factors.
E. Obtaining consent for a blood transfusion is not necessary unless the client has severe anemia or bleeding.
F. Restricting fluid intake to 1,400 mL/day may cause dehydration and electrolyte imbalance.
G. Administering meperidine (a narcotic analgesic) may be considered for pain relief.
H. Encouraging bedrest is appropriate to minimize joint stress and promote healing, especially when there is pain and swelling in the extremities.

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A nurse is reinforcing teaching with a client who has rheumatoid arthritis. Which of the following statements by the client indicates understanding of the information?

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