A patient asks the difference between osteoarthritis and RA. Which manifestations does the nurse explain are characteristic of RA?
(Select all that apply.)
Heberden nodes
Early morning stiffness
Pain increasing by activity
Autoimmune disease
Low-grade fever
Correct Answer : B,D,E
A. Heberden nodes: These are bony swellings commonly seen in osteoarthritis, particularly affecting the distal interphalangeal joints of the fingers, not typically associated with rheumatoid arthritis (RA).
B. Early morning stiffness: RA is characterized by prolonged morning stiffness lasting more than 30 minutes, which improves with activity, distinguishing it from the short-lived stiffness seen in osteoarthritis.
C. Pain increasing by activity: This is more characteristic of osteoarthritis, where joint pain typically worsens with use and activity. RA pain often improves with movement as the joints "warm up."
D. Autoimmune disease: RA is an autoimmune condition where the body's immune system attacks its own tissues, leading to inflammation and joint damage.
E. Low-grade fever: Low-grade fever can be a systemic symptom of RA due to the autoimmune inflammatory process, which is not a feature of osteoarthritis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Obtain an electrocardiogram (ECG) exam: While an ECG is important to assess cardiac status, it is not the immediate priority compared to addressing the low oxygen saturation.
B. Obtain intravenous access: IV access is important for administering medications and fluids but does not take precedence over addressing hypoxia.
C. Administer 2 L of oxygen per nasal cannula: This is correct. The priority is to improve oxygenation since hypoxia can exacerbate neurological damage in a stroke patient. An SpO2 of 88% is low and requires immediate correction to prevent further complications.
D. Obtain a rectal temperature: Temperature assessment is not as urgent as addressing the immediate need for oxygen to improve SpO2 levels.
Correct Answer is B
Explanation
A. Have the patient lie in bed with a pillow under the knees: Elevation of the legs can reduce blood flow to the feet, worsening symptoms. Additionally, putting a pillow under the knees can compress arteries further, exacerbating ischemia.
B. Evaluate the distal pulses: Assessing the distal pulses is crucial for determining the severity of blood flow impairment and helps in understanding the extent of peripheral arterial disease.
C. Cover the patient with a blanket: While warmth might provide some comfort, it does not address the underlying vascular issue and is not a primary intervention for this condition.
D. Notify the physician: While it may be necessary eventually, evaluating the patient's distal pulses first will provide critical information that the nurse can report to the physician.
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