Exhibits
The healthcare provider (HCP) is reviewing the client's laboratory results and imaging and has diagnosed the client with rheumatoid arthritis.
Drag from Word Choices to complete the sentence.
Due to the new diagnosis of rheumatoid arthritis, the nurse should recognize that the client is at risk for
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B","dropdown-group-3":"B"}
Rationale for Correct Choices:
- Impaired physical mobility: Rheumatoid arthritis leads to joint inflammation, stiffness, and potential deformities. These symptoms may result in decreased range of motion and difficulty with physical movements, contributing to impaired mobility.
- Acute pain: RA causes acute inflammation in the joints, resulting in pain, especially during flare-ups. The client experiences pain and stiffness in the hands and wrists, which aligns with the acute pain risk associated with RA.
- Knowledge deficit: Newly diagnosed RA patients often lack understanding about the disease process, treatment options, and lifestyle modifications. The nurse needs to recognize that the client requires education to manage their condition effectively and understand the long-term implications.
Rationale for Incorrect Choices:
- Electrolyte imbalance: Electrolyte imbalances are not a typical complication of rheumatoid arthritis. While certain medications used to treat RA (like corticosteroids) can impact electrolyte levels, this is not an immediate concern or a direct risk associated with RA itself.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Iron-rich meats: While iron is essential for preventing anemia, it does not contribute significantly to bone mineral density. These foods are not a primary recommendation for osteoporosis prevention, which focuses on calcium and vitamin D intake.
B. Water and herbal teas: Adequate hydration is important for overall health, but water and herbal teas do not contain the calcium or vitamin D needed to support bone health. They have minimal direct impact on preventing osteoporosis.
C. Low fat dairy products: Low fat dairy products like milk, yogurt, and cheese are rich in calcium and often fortified with vitamin D—both critical nutrients for maintaining bone density and preventing osteoporosis.
D. Fresh fruits and vegetables: Fruits and vegetables provide general nutritional support, but are not the most concentrated sources of bone-building nutrients like calcium. They support health broadly but are not the key dietary focus for osteoporosis.
Correct Answer is ["5.6"]
Explanation
Rationale:
- Convert the client's weight from pounds (lb) to kilograms (kg).
Weight in kg = 132 lb / 2.2 lb/kg
= 60 kg.
- Calculate the desired dose per minute in micrograms (mcg).
Desired dose per minute (mcg/min) = Desired dose (mcg/kg/min) × Weight (kg)
= 5 mcg/kg/min × 60 kg
= 300 mcg/min.
- Convert the desired dose from micrograms per minute (mcg/min) to milligrams per hour (mg/hr).
1 mg = 1000 mcg
1 hr = 60 min
Desired dose in mg/hr = (300 mcg/min / 1000 mcg/mg) × 60 min/hr
= 0.3 mg/min × 60 min/hr
= 18 mg/hr.
- Determine the concentration of the available Dopamine solution in milligrams per milliliter (mg/mL).
Available concentration = Total medication (mg) / Total volume (mL)
= 1600 mg / 500 mL
= 3.2 mg/mL.
- Calculate the IV pump rate in milliliters per hour (mL/hr).
IV pump rate (mL/hr) = Desired dose (mg/hr) / Available concentration (mg/mL)
= 18 mg/hr / 3.2 mg/mL
= 5.625 mL/hr.
- Round the answer to the nearest tenth.
= 5.6
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