Which technique should the nurse use when assessing for early signs of rheumatoid arthritis?

Observe the client's fingers.

Palpate the lymph nodes.

Observe the skin for lesions.

Palpate large joints for nodules.

Answer and Explanation

The Correct Answer is A

A. Observing the client's fingers is essential as early signs of rheumatoid arthritis often manifest in the small joints of the hands, including swelling, redness, and pain.
B. While lymph nodes may be palpated for other conditions, they are not directly indicative of rheumatoid arthritis.
C. Observing the skin for lesions is important for other conditions but is not a primary assessment technique for rheumatoid arthritis.
D. Palpating large joints for nodules is more relevant in later stages of the disease; early signs focus more on the small joints and their characteristics.

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Correct Answer is A

Explanation

A. Increasing the intake of oral fluids is crucial as it helps to liquefy secretions, making it easier for the client to cough up thick mucus and improve breathing.
B. While anxiety reduction methods can be helpful, addressing the physical symptoms of respiratory distress is more immediate.
C. Monitoring for medication side effects is important, but it is secondary to ensuring effective airway clearance and improving respiratory function.
D. Avoiding crowded areas is a preventive measure but does not address the current issue of managing mucus production and shortness of breath.

A. Fried rice. B. Potatoes. C. Corn chips. D. Oatmeal.

Correct Answer is D

Explanation

A. Fried rice is typically made with rice, which is gluten-free, so this option would generally be safe for a client with celiac disease unless it contains gluten-containing soy sauce.
B. Potatoes are naturally gluten-free and can be safely included in a gluten-free diet.
C. Corn chips can also be gluten-free, but it’s important to check the label for potential cross-contamination.
D. Oatmeal can often contain gluten due to cross-contamination during processing unless it is specifically labeled as gluten-free, indicating that further teaching is needed for the client regarding safe food choices.

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Which technique should the nurse use when assessing for early signs of rheumatoid arthritis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

The nurse is discussing dietary choices with a client who is newly diagnosed with celiac disease. Which menu choice by the client indicates a need for further teaching?

Correct Answer is D

Explanation

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