A young adult client with a new diagnosis of rheumatoid arthritis states, "The pain in my joints is just a temporary thing. If I keep eating right and exercising, it'll go away." The nurse should identify the client is exhibiting which of the following defense mechanisms?

Displacement

Reaction formation

Rationalization

Denial

Answer and Explanation

The Correct Answer is D

A.   Displacement involves redirecting emotions, which does not apply here.
B.   Reaction formation is expressing the opposite of one's true feelings; this does not fit the statement.
C.   Rationalization involves justifying behaviors or feelings; the statement does not justify.
D.   Denial is refusing to accept the reality of the situation, which aligns with the client's belief about their pain.

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

Explanation

A. Administering warfarin is contraindicated due to liver impairment affecting coagulation.
B. Administering furosemide helps manage fluid retention in cirrhosis.
C. Measuring abdominal girth is important to assess for ascites and fluid retention.
D. Encouraging weight lifting is not appropriate due to the risk of increased abdominal pressure.
E. Implementing a low-sodium diet is important to manage fluid retention.

A. Serum sickness B. Bronchospasm C. Tissue damage at the site D. Excessive mucus secretion

Correct Answer is C

Explanation

A. Serum sickness is a systemic reaction and not characteristic of delayed hypersensitivity.
B. Bronchospasm is more indicative of immediate hypersensitivity reactions.
C. Tissue damage at the site occurs in delayed hypersensitivity reactions, such as those seen in contact dermatitis.
D. Excessive mucus secretion is also more typical of immediate reactions rather than delayed ones.

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A young adult client with a new diagnosis of rheumatoid arthritis states, "The pain in my joints is just a temporary thing. If I keep eating right and exercising, it'll go away." The nurse should identify the client is exhibiting which of the following defense mechanisms?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who has cirrhosis of the liver. Which of the following actions should the nurse include in the plan? (Select all that apply.)

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

Explanation

A nurse is caring for a client who has a delayed hypersensitivity reaction. The nurse should expect which of the following manifestations?

Correct Answer is C

Explanation

A nurse is preparing a presentation at a community center about systemic lupus erythematosus (SLE). The nurse should plan to include which of the following findings as a manifestation of SLE?

A nurse is assessing a client for early manifestations of rheumatoid arthritis (RA). Which of the following changes is an early manifestation of RA?

A young adult client with a new diagnosis of rheumatoid arthritis states, "The pain in my joints is just a temporary thing. If I keep eating right and exercising, it'll go away." The nurse should identify the client is exhibiting which of the following defense mechanisms?

When caring for a patient with Guillain-Barré Syndrome, which of the following is the most critical assessment the nurse should prioritize?

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A nursing is providing dietary teaching for a client who has Cushing's disease. Which of the following recommendations should nurse include in the teaching?

A nurse is caring for a client who has HIV infection dementia and has progressed to AIDS. Which of the following findings should the nurse expect?