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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. While assessing body temperature is important, it is not the most critical action prior to administering vancomycin.
B. Auscultating bowel sounds can provide information about gastrointestinal function but is not specifically required before administering vancomycin.
C. Measuring oxygen saturation is important in assessing respiratory status but is not related to the administration of vancomycin.
D. Checking serum creatinine is essential because vancomycin can affect renal function, and assessing kidney function is critical before administration to prevent potential toxicity, especially in patients with a history of renal impairment.
Correct Answer is B
Explanation
A. Lactulose typically increases the frequency of liquid stools as it helps to draw water into the intestines to facilitate bowel movements.
B. The primary therapeutic goal of lactulose in hepatic encephalopathy is to reduce ammonia levels in the blood, which should result in improved mental status and cognitive function.
C. While lactulose can affect fluid balance, an increase in urine output is not a direct therapeutic response associated with its use.
D. Although improvement in ambulation may occur as the client's mental status improves, it is not the primary expected outcome of lactulose treatment.
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