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. 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.

3. What is a classic symptom assessed in clients with lupus?

A. Butterfly rash
B. Chvostek's sign
C. Ovid's sign
D. Heberden's nodes

Correct answer: A

Rationale:

4. What nursing interventions increase the risk the pressure injuries?

A. Padding hard surfaces
B. Have client sit in wheelchair as much as possible
C. Place pillows between bony surfaces
D. Keep head of bed (HOB) at or less than 3

Correct answer: B

Rationale:

5. Death of bone tissue can occur when the blood supply to the bone is disrupted. What is this complication called?

A. Reflex sympathetic dystrophy
B. Avascular necrosis
C. Delayed union
D. Complex regional pain syndrome

Correct answer: B

Rationale: The correct answer is B, avascular necrosis. Avascular necrosis is the condition where bone tissue dies due to the disruption of blood supply to the bone. Reflex sympathetic dystrophy (Choice A) is a chronic pain condition, delayed union (Choice C) refers to a delayed healing of a fracture, and complex regional pain syndrome (Choice D) is a chronic pain condition typically affecting an arm or leg.