Nokea
The client asks the nurse what nonpharmacological intervention can be used to
reduce pain and swelling in her joints affected by rheumatoid arthritis. What is
the most appropriate response by the nurse?
- A. "Ice packs can be used to reduce swelling but should be removed after 20 minutes."?
- B. "Heat always makes the swelling go down. You do not need any other interventions."?
- C. "Try high impact exercise exercise like running to loosen up your joints and reduce
pain."? - D. "Apply ice packs. It is generally okay to keep them on for up to one hour at a time."?
Correct Answer: A
Rationale:
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A client on bed rest complains of pain and burning in the right calf area. What
is the nurse's action?
- A. Deeply palpate the area for rebound tenderness
- B. Medicate the client for pain and reassess in 60 minutes
- C. Percuss over the area for a change in tone
- D. Compare the circumference to the left calf
Correct Answer: D
Rationale:
The nurse is preparing to administer medications to a client with osteoarthritis.
What is the goal of medication therapy?
- A. Eradicate the disease
- B. Reduce pain and inflammation
- C. Turn on the immune system
- D. Manage weight loss
Correct Answer: B
Rationale:
An area of erythema on the child's skin is being assessed by the nurse. The
nurse presses down on the area, and the area becomes white. What time does
the nurse document for this finding?
- A. Non-blanching
- B. Blanching
- C. Redness
- D. Warmth
Correct Answer: B
Rationale:
A client is experiencing numbness and tingling distal to a new arm cast with no
increase in pain. The nurse assesses that the client's fingers are pale, cool and
swollen. What action does the nurse take next?
- A. Remove the cast to decrease pressure
- B. Raise the arm above the level of the heart
- C. Apply heat to the affected hand
- D. Encourage range of motion
Correct Answer: B
Rationale:
The nurse is caring for 4 clients. What client should the nurse see first?
- A. A client with multiple children visiting
- B. A client with lupus asking for dinner
- C. A client on Methotrexate with a fever
- D. A client with chronic rheumatic pain
Correct Answer: C
Rationale: The correct answer is the client on Methotrexate with a fever. Fever in a client on Methotrexate, an immunosuppressant, could indicate a serious infection or adverse drug reaction requiring immediate attention to prevent complications. The other choices do not present immediate life-threatening concerns. A client with lupus asking for dinner can wait, a client with chronic rheumatic pain may need pain management but is not the priority over a fever in a client on Methotrexate, and a client with children visiting does not pose an urgent medical issue.