the nurse is performing a psychosocial assessment on a client with a severe rheumatoid arthritis what would be the most appropriate statement by the n

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. The nurse is performing a psychosocial assessment on a client with a severe rheumatoid arthritis. What would be the most appropriate statement by the nurse?

A. "Tell me about what medication you are taking"?
B. "What physical limitations are you experiencing?"?
C. "How does this impact your role in your family?"?
D. "What therapies are you using to reduce swelling?"?

Correct answer: C

Rationale:

2. What are nonsurgical treatment options for carpal tunnel syndrome? (Select all that apply)

A. Using a splint
B. Ultrasound therapy
C. Endoscopic carpal tunnel release
D. All of the above

Correct answer: D

Rationale: The correct answer is D, 'All of the above.' Non-surgical treatments for carpal tunnel syndrome include using a splint, ultrasound therapy, corticosteroid injections, and NSAIDs. Choice A is correct as using a splint helps to keep the wrist in a neutral position, reducing pressure on the median nerve. Choice B is correct as ultrasound therapy can help reduce inflammation and alleviate symptoms. Choice C, 'Endoscopic carpal tunnel release,' is incorrect as it is a surgical procedure, not a nonsurgical treatment option for carpal tunnel syndrome.

3. 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.

4. Why is a client with osteoporosis prone to fractures?

A. The client has bone spurs that lead to fractures
B. The client has increased bone density
C. The client has porous bones
D. The client is not prone to fractures

Correct answer: C

Rationale: The correct answer is C. Osteoporosis is characterized by porous, weak bones due to decreased bone density. This porous nature of bones in osteoporosis makes them more prone to fractures. Choice A is incorrect because bone spurs do not lead to fractures in osteoporosis; they are bony outgrowths unrelated to osteoporosis. Choice B is incorrect as osteoporosis is associated with decreased, not increased, bone density. Choice D is incorrect as individuals with osteoporosis are indeed prone to fractures due to weakened bones.