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 A
Explanation
A. Culturing for sensitive organisms is essential in identifying the causative agent of the infection indicated by the purulent drainage, guiding appropriate antibiotic therapy.
B. Blood pH level is not directly relevant to assessing wound drainage or infection status.
C. C-reactive protein (CRP) can indicate inflammation but is not specific enough to provide immediate information regarding the infection at the wound site.
D. Serum blood glucose level is more relevant for assessing the client's overall metabolic status and risk for infections rather than directly correlating with the purulent drainage observed.
Correct Answer is C
Explanation
A. A positive sputum smear and culture would indicate that the tuberculosis infection is still active, which is not an expected outcome of effective treatment with isoniazid.
B. Vertigo and tinnitus are not expected outcomes of isoniazid therapy; they may indicate side effects or adverse reactions, not effectiveness.
C. Decreased cough and sputum would demonstrate the effectiveness of isoniazid in treating active tuberculosis, as the medication should lead to symptomatic improvement and reduced bacterial load.
D. Decreased appetite and weight loss can be associated with tuberculosis but are not direct indicators of medication effectiveness.
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