The nurse is preparing discharge teaching for a client who has been recently diagnosed with Rheumatoid arthritis.

Which of the statements made by the client would indicate the need for further teaching?.

"When carrying an object I will hold it close to my body.”.

"I will pick up objects with my arms or leg muscles.”.

"I will carry my laundry basket with the tip of my fingers.”.

"I will bend at the knees when picking up an item from the floor.”.

Answer and Explanation

The Correct Answer is C

Choice A rationale:
Holding an object close to the body can help distribute the weight evenly and reduce strain on the joints, which is beneficial for someone with Rheumatoid arthritis.
Choice B rationale:
Using larger muscle groups like the arms and legs can help reduce the strain on smaller, more sensitive joints.
Choice C rationale:
Carrying a laundry basket with the tips of the fingers can put unnecessary strain on the finger joints, which can exacerbate symptoms of Rheumatoid arthritis.
Choice D rationale:
Bending at the knees, rather than the waist, can help protect the back and maintain balance when picking up an item from the floor.

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

Explanation

Choice A rationale:
Hypoglycemia is a condition characterized by low blood sugar levels. However, the client is on Prednisone and NSAIDs, which do not typically cause hypoglycemia. Therefore, it’s unlikely that the client would develop this condition as a side effect of these medications.
Choice B rationale:
Weight loss could occur in some individuals taking Prednisone due to potential side effects like loss of appetite or stomach upset. However, it’s more common for individuals on Prednisone to experience weight gain due to increased appetite.
Choice C rationale:
Weight gain is a common side effect of Prednisone. This medication can cause increased appetite leading to weight gain. It can also cause fluid retention and redistribution of fat, particularly in the face, back of the neck, and abdomen.
Choice D rationale:
Hyperglycemia, or high blood sugar, is a potential side effect of Prednisone. This medication can cause an increase in blood sugar levels, which if persistently high, can lead to diabetes. Regular monitoring of blood glucose levels is recommended for clients on this medication.

A. Liver and bacon. B. Vegetables and Bananas. C. Fruits and bacon. D. Nuts and fish.

Correct Answer is B

Explanation

Choice A rationale:
Liver and bacon are high in purines, which can exacerbate gout. Therefore, they should be avoided.
Choice B rationale:
Vegetables and bananas are low in purines and are therefore good choices for a patient with gout.
Choice C rationale:
Fruits are generally low in purines, but bacon is high in purines and should be avoided.
Choice D rationale:
Nuts are a good choice as they are low in purines, but fish can be high in purines and should be eaten in moderation.

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The nurse is preparing discharge teaching for a client who has been recently diagnosed with Rheumatoid arthritis. Which of the statements made by the client would indicate the need for further teaching?.

Nursing Test Bank

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The nurse is preparing discharge teaching for a client who has been recently diagnosed with Rheumatoid arthritis.

Which of the statements made by the client would indicate the need for further teaching?.