The nurse is assisting with the care of a patient with rheumatoid arthritis (RA). What should the nurse consider when providing care?

Injury and age are the greatest contributors to disease development.

Acutely inflamed joints will respond best to heat therapy.

It is essential to monitor all body systems for effects of the disease.

Exercise is poorly tolerated and frequent rest is needed.

Answer and Explanation

The Correct Answer is C

Choice A reason: While injury and age can be risk factors, they are not the greatest contributors to RA, which is an autoimmune disease.

Choice B reason: Heat therapy can help relieve pain in some cases, but it is not always the best response for acutely inflamed joints; cold therapy is often recommended to reduce inflammation.

Choice C reason: RA can affect multiple body systems beyond the joints, including the cardiovascular and respiratory systems, so it is essential to monitor all body systems.

Choice D reason: Exercise is actually beneficial for patients with RA to maintain joint function and muscle strength; rest is important, but should be balanced with physical activity.

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Correct Answer is C

Explanation

Choice A reason: An illusion is a misinterpretation of a real external stimulus, which is not the case here as there is no snake.

Choice B reason: Attention-getting behavior is a possibility, but given that Mr. G is specifically referencing a snake that isn't there, it suggests a hallucination.

Choice C reason: A hallucination is a sensory perception in the absence of external stimuli, which fits Mr. G's description of seeing a snake that isn't there.

Choice D reason: A delusion is a firmly held false belief; while Mr. G may have this, the immediate experience he's describing is a hallucination, not a delusion.

A. Empty the drain device every shift. B. Minimize use of the affected arm. C. Measure the circumference of both arms. D. Place the affected arm below the level of the heart.

Correct Answer is A

Explanation

Choice A reason: Emptying the drain device every shift is important to prevent infection and accumulation of fluid, which can impede healing.

Choice B reason: Minimizing use of the affected arm is not recommended; rather, gentle exercises to promote circulation and prevent lymphedema are usually encouraged.

Choice C reason: Measuring the circumference of both arms can be part of monitoring for lymphedema, but it is not the priority in immediate post-mastectomy care.

Choice D reason: Placing the affected arm below the level of the heart is not recommended as it can increase swelling; elevation is usually advised.

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The nurse is assisting with the care of a patient with rheumatoid arthritis (RA). What should the nurse consider when providing care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Mr. G is calling out "Nurse!" When you arrive in his room, he tells you to be careful of the snake in the corner. You do not see anything in the corner. Mr. G is experiencing an:

Correct Answer is C

Explanation

The nurse is providing care for a patient who had a mastectomy for breast cancer 2 days ago. What should the nurse include in the daily care?

Correct Answer is A

Explanation

A resident returns to the long-term care center after a right total hip replacement. The nurse should reinforce teaching for maintaining which of the following postoperative leg positions?

A patient with peripheral arterial disease (PAD) is sitting in a chair and has cool feet that are reddish-purple in color. What action should the nurse take?

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