Nokea
A client is using a continuous passive motion (CPM) machine after joint replacement. Where does the nurse place the CPM machine to prevent infection and promote safety?
- A. On the floor beside the bed
- B. On a stable surface above the floor
- C. Directly on the client's bed
- D. In a sterile equipment room
Correct Answer: B
Rationale: For infection control and to avoid tripping, the CPM machine is never placed on the floor. Placing it on a stable surface above the floor ensures safety and accessibility.
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A client has newly diagnosed systemic lupus erythematosus (SLE). What instruction by the nurse is most important?
- A. Be sure you get enough sleep at night
- B. Eat plenty of high-protein, high-iron foods
- C. Notify your provider at once if you get a fever
- D. Weigh yourself every day on your home scale
Correct Answer: C
Rationale: A fever is a classic sign of a lupus flare and should be reported immediately. Rest and nutrition are important but do not take priority over teaching the client what to do if they develop an elevated temperature.
A client has been diagnosed with fibromyalgia syndrome but does not want to take the prescribed medication. What nonpharmacological measures can the nurse suggest to help manage this condition? (Select all that apply.)
- A. Acupuncture
- B. Breathing exercises
- C. Supplements
- D. Tai chi
- E. Vigorous aerobics
Correct Answer: A,B,D
Rationale: There are many nonpharmacologic means for controlling the symptoms of fibromyalgia, including acupuncture, breathing exercises, and tai chi. Vigorous aerobics may exacerbate symptoms, and supplements are not generally recommended without specific deficiencies.
A nurse is teaching a client with rheumatoid arthritis (RA) who is prescribed etanercept (Enbrel). What information is most important for the nurse to teach this client?
- A. Administer the medication via subcutaneous injection twice a week
- B. Use heat on the injection site to reduce pain
- C. Avoid large crowds or people who are ill
- D. Monitor for signs of infection daily
Correct Answer: A
Rationale: Etanercept is given as a subcutaneous injection twice a week. The nurse should teach the client how to self-administer the medication. The other options are not appropriate for etanercept.
A nurse in the family clinic is teaching a client newly diagnosed with osteoarthritis (OA) about drugs used to treat the disease. For which medication does the nurse plan primary teaching?
- A. Acetaminophen
- B. Cyclobenzaprine hydrochloride (Flexeril)
- C. Hydrocortisone (Hylan)
- D. Ibuprofen
Correct Answer: A
Rationale: All of the drugs are appropriate to treat OA. However, the first-line drug is acetaminophen. Cyclobenzaprine is a muscle relaxant given to treat muscle spasms. Hydrocortisone is a synthetic joint fluid implant. Ibuprofen is a non-steroidal anti-inflammatory drug.
A nurse works in the rheumatology clinic and sees clients with rheumatoid arthritis (RA). Which client should the nurse see first?
- A. Client who reports jaw pain when eating
- B. Client with a red, hot, swollen right wrist
- C. Client who has a puffy-looking area behind the knee
- D. Client with a worse joint deformity since the last visit
Correct Answer: B
Rationale: All of the options are possible manifestations of RA. However, the presence of one joint that is much redder, hotter, or more swollen than other joints may indicate infection. The nurse needs to see this client first.