Which of the following instructions should be included in the teaching for the client with rheumatoid arthritis?

Alternate hot and cold packs to affected joints.

Take prescribed anti-inflammatory medications with meals.

Avoid exercise because it fatigues the joints.

Avoid weight-bearing activity.

Answer and Explanation

The Correct Answer is D

A.   While this can be helpful for managing pain and inflammation, it's not a universal recommendation and should be discussed with a healthcare provider.
B.   This is important to prevent stomach upset, a common side effect of many anti-inflammatory medications.
C.   Regular, low-impact exercise is crucial for maintaining joint function and reducing stiffness in people with rheumatoid arthritis.
D.   While weight-bearing activities might need to be modified or avoided during flare-ups, complete avoidance of weight-bearing activity can lead to muscle weakness and further joint problems.

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Correct Answer is C

Explanation

A. Herpes simplex virus (HSV) is not directly linked to an increased risk of esophageal cancer. While it can cause infections in the esophagus, especially in immunocompromised individuals, it is not recognized as a significant risk factor for esophageal cancer itself.
B. While some individuals may experience discomfort from spicy foods, there is no substantial evidence linking the consumption of spicy foods directly to the development of esophageal cancer. Dietary factors are more complex, and spicy foods are not typically identified as a primary risk factor.
C. Gastroesophageal reflux disease (GERD) is a significant risk factor for esophageal cancer, particularly adenocarcinoma. Chronic reflux can lead to changes in the esophageal lining (Barrett's esophagus), which is a precancerous condition. Therefore, this is a well-established risk factor.
D. The use of non-steroidal anti-inflammatory drugs (NSAIDs) is not considered a direct risk factor for esophageal cancer. In some contexts, NSAIDs may even have a protective effect against certain types of cancer due to their anti-inflammatory properties. However, chronic use can lead to gastrointestinal complications, including ulcers, but does not have a clear link to the development of esophageal cancer.

A. A 33-year-old daycare worker at a high-risk center. B. A 54-year-old nurse working in a nursing home. C. A 16-year-old female high school student. D. A 43-year-old homeless man with a history of alcoholism.

Correct Answer is D

Explanation

A. While daycare workers can be at risk for various infections, they are not typically considered at high risk for TB unless they are in close contact with TB-positive individuals. Therefore, this option does not present the highest likelihood of TB.
B. This individual is at a moderate risk for TB, especially if they are caring for patients with known TB or are in an environment where TB may be more prevalent. However, nursing homes are more often associated with other infections rather than being primary sources for TB outbreaks.
C. High school students are generally not at high risk for TB unless they have specific exposure or travel history. Without additional risk factors, this group does not exhibit a high likelihood of TB.
D. This option represents the highest likelihood of TB. Homeless individuals are at increased risk for TB due to factors such as crowded living conditions, poor nutrition, and lack of access to healthcare.

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Which of the following instructions should be included in the teaching for the client with rheumatoid arthritis?

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Naxlex Comprehensive Predictor Exams

The nurse is assessing a patient prior to surgery for esophageal cancer. Which of the following would be considered a risk factor for the development of this disease?

Correct Answer is C

Explanation

The nurse is working in an outpatient clinic. The clinic has been alerted that there is an outbreak of tuberculosis (TB). Which of the following clients entering the clinic today are most likely to have TB?

Correct Answer is D

Explanation

Which of the following instructions should be included in the teaching for the client with rheumatoid arthritis?

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