A nurse is teaching a client who has a new diagnosis of rheumatoid arthritis. Which of the following statements should the nurse include in the teaching?

"Avoid napping during the day."<br>

"Avoid using ice packs when joints are inflamed."

"Take a hot shower to reduce pain in the morning."

"Decrease the amount of iron in your diet."

Answer and Explanation

The Correct Answer is C

C. Heat therapy can help relax muscles and relieve stiffness in the joints, making it easier to move around and start the day.

A While it's important to maintain a regular sleep schedule, short naps may actually help manage fatigue associated with the condition

B. Cold therapy, such as using ice packs, can actually help reduce inflammation and relieve pain in inflamed joints for many individuals with RA.

D. Decreasing the amount of iron in the diet is not advisable without specific medical guidance.

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Correct Answer is B

Explanation

B. This statement encourages the client to actively participate in their dietary planning by involving them in the process of selecting foods they enjoy. It empowers the client to collaborate with the dietitian in creating a meal plan that suits their preferences

A While empathetic, it does not actively encourage the client's involvement in their care plan or decision-making process.

C. While this statement reassures the client about the expertise of the dietitian, it does not actively encourage the client's active participation or involvement in decision-making regarding their dietary choices.

D. This statement acknowledges the need for adjustments but does not specifically encourage the client's active involvement in planning their dietary choices.

A. Cerebral edema B. Septic shock C. Cardiac arrhythmias D. Renal failure E. Hypotension F. Respiratory alkalosis

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

Explanation

A. This is a serious complication in DKA, particularly in children, where the shift in osmolality during treatment can lead to fluid shifts into the brain. It can present with neurological deterioration, headache, altered mental status, and even coma.
B. Septic shock
While infection can precipitate DKA, septic shock itself is not a direct complication of DKA. However, DKA can predispose patients to infections due to impaired immune function, dehydration, and hyperglycemia.
C. Cardiac arrhythmias
Electrolyte imbalances, particularly hypokalemia or hyperkalemia (depending on treatment phase), can predispose individuals with DKA to cardiac arrhythmias such as ventricular arrhythmias (e.g., ventricular tachycardia) or atrial fibrillation.
D. Renal failure
Acute kidney injury (AKI) can occur due to dehydration, electrolyte imbalances, and the direct effects of acidosis. However, with prompt and appropriate treatment, renal function typically recovers.
E. Hypotension
Dehydration and volume depletion are common in DKA due to osmotic diuresis and fluid loss. This can lead to hypovolemic shock and hypotension if not adequately managed with fluid resuscitation.
F Respiratory alkalosis
DKA is associated with metabolic acidosis, not respiratory alkalosis. The body compensates for acidosis by increasing respiratory rate (Kussmaul respirations) to blow off CO2 and normalize pH, but this does not lead to respiratory alkalosis.

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A nurse is teaching a client who has a new diagnosis of rheumatoid arthritis. Which of the following statements should the nurse include in the teaching?

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

ExhibitsThe nurse is caring for the client in the ED. The nurse understands that the client is at risk of developing which of the following complications? Select all that apply.

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

Explanation

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