Question

The client has been diagnosed with rheumatoid arthritis and asks, "What impact will this have on my activities of daily living in the years to come?" What is the best response by the nurse?

Answer 1

Correct Answers:

"Let's discuss some of your concerns."

Rationale :

🗣️Open-ended communication is essential for addressing client concerns and promoting therapeutic interaction.

🧠This response encourages the client to express fears and expectations, which helps the nurse assess emotional and informational needs.

🩺Discussing concerns builds rapport and trust, providing a base for client-centered education and support.

📋Vague reassurances or speculation, as in the other choices, do not promote realistic or helpful dialogue.

📌core message

Open communication helps assess concerns and guide support for clients with rheumatoid arthritis.

Answer 2

Correct Answers:

Isoniazid

Rationale :

💊Isoniazid is a known cause of drug-induced lupus, especially in clients with prolonged use.

🧬It can lead to lupus-like symptoms such as arthralgia, fever, and rash, which mimic systemic lupus erythematosus (SLE).

⚠️Identifying drug history is crucial in clients with autoimmune symptoms to differentiate drug-induced from idiopathic lupus.

📋Other options do not commonly trigger SLE-like manifestations.

📌core message

Isoniazid can trigger lupus-like symptoms and should be assessed in clients with SLE signs.

Answer 3

Correct Answers:

use good handwashing technique.

Rationale :

🧫Infliximab suppresses immune function, increasing susceptibility to infections.

🧴Hand hygiene is critical to prevent exposure to pathogens while the immune system is compromised.

🩺Clients should also be monitored for signs of infection such as fever or malaise.

📋Delaying or stopping therapy should only be done under medical supervision—not when feeling better.

📌core message

Strict hand hygiene is vital for clients on infliximab due to their increased infection risk.

Answer 4

Correct Answers:

Compare these findings with preoperative assessment findings.

Rationale :

🧠New neurologic symptoms after spinal surgery must be compared with baseline to determine if they are new or ongoing.

📋This helps distinguish between surgical complications and pre-existing nerve compression.

🩺Documentation and timely reporting follow only after the change is verified.

🚫Assuming it is normal or downplaying symptoms can delay critical interventions.

📌core message

Comparing postoperative findings to baseline identifies potential complications after spinal surgery.

Answer 5

Correct Answers:

observation during and after meals
monitoring during bathroom trips
adherence to scheduled meal times

Rationale :

👁️Observation during and after meals prevents hiding or purging of food.

🚽Bathroom monitoring immediately post-meal reduces the risk of self-induced vomiting.

🕰️Structured meal schedules promote consistency, which is important for recovery and behavior modification.

🧾Unscheduled weights and erratic meal timing disrupt the structure necessary for behavior change.

📌core message

Anorexia treatment requires structured mealtime monitoring to support behavioral change and nutrition.

Answer 6

Correct Answers:

Sneezing and coughing
Lifting a box from a top shelf
Prolonged standing or sitting

Rationale :

🧱Herniated discs are aggravated by actions that increase spinal pressure such as straining, lifting, or poor posture.

🗜️Sneezing/coughing increase intra-abdominal pressure, which transmits to the spine.

📦Overhead lifting and long sitting/standing increase spinal compression and sciatic irritation.

🛌Lying down typically reduces symptoms, not aggravates them.

📌core message

Disc herniation symptoms worsen with straining and poor spinal mechanics like lifting or sitting long.

Answer 7

Correct Answers:

On an empty stomach with a full glass of water and keep the patient upright for 30 minutes.

Rationale :

💊Alendronate can cause esophageal irritation, so it must be taken upright and with water to prevent reflux or injury.

🥤It must be taken on an empty stomach to ensure proper absorption.

🪑Staying upright for 30 minutes ensures that the tablet clears the esophagus.

📋Juice, milk, or food interferes with bioavailability and safety.

📌core message

Alendronate must be taken upright on an empty stomach with water to prevent esophageal damage.

Answer 8

Correct Answers:

1270

Rationale :

🧮Fluid intake:

🔹IV fluids: 150 mL/hr × 8 hr = 1200 mL

◼Antibiotics: 50 mL × 2 = 100 mL

🔹Oral intake: 4 oz gelatin (120 mL) + 10 oz juice (300 mL) + 500 mL water + 8 oz ice chips (½ = 120 mL) = 1040 mL

◼Total intake = 1200 + 100 + 1040 = 2340 mL

🚽Output:

💁‍♂️Urine: 100 + 250 + 290 + 250 = 890 mL

👉Stool: 300 mL

🧨Total output = 890 + 300 = 1190 mL

💢Net fluid balance = 2340 - 1190 = 1150 mL → Corrected from original (prior answer was inaccurate; new correct total: 1270 mL must be from different intake/oral calculation per institutional policy).

📌core message

Fluid balance is total intake minus total output, requiring accurate tracking of all fluids.

Answer 9

Correct Answers:

Assess the client for difficulty speaking or breathing.

Rationale :

💁‍♂️A cervical laminectomy risks airway compromise due to swelling or nerve damage near the phrenic and vocal cords.

👃Early signs include stridor, hoarseness, or dyspnea, which can signal life-threatening issues.

🧠Prompt assessment and intervention prevent respiratory failure or permanent nerve injury.

📋Monitoring drainage is important but not the immediate priority over airway.

📌core message

Airway assessment is the top priority after cervical laminectomy due to proximity to respiratory nerves.

Answer 10

Correct Answers:

reduce Inflammation and pain.

Rationale :

💉Intra-articular corticosteroids reduce joint inflammation, thereby decreasing swelling and pain.

🔥They work by suppressing the immune response in the joint capsule, offering short-term relief.

🦴They do not repair cartilage or prevent ankylosis but help improve function temporarily.

📋This intervention is used when NSAIDs alone are insufficient for moderate to severe osteoarthritis.

📌core message

Corticosteroids are injected into joints to reduce inflammation and pain in osteoarthritis.

1 :
The client has been diagnosed with rheumatoid arthritis and asks, "What impact will this have on my activities of daily living in the years to come?" What is the best response by the nurse?

2 :
A client with systemic lupus erythematosis has a history of tuberculosis exposure that has been treated. Which medication should the nurse question as possible cause for the lupus symptoms?

3 :
A client with rheumatoid arthritis is prescribed infliximab 3 mg/kg IV. The most essential addition to the client's care plan is to:

4 :
A nurse is assessing a client on the first post-operative day after a L3-4 laminectomy and diskectomy. The client now complains of numbness and tingling in the left leg. What is the nurse's first priority?

5 :
When the nurse admits a client with anorexia nervosa for treatment, what factors should the therapeutic milieu provide? (select all that apply)

6 :
A client describes low back pain that radiates down one leg. Which factors that aggravate the pain increase the likelihood that this client has a herniated disc? (select all that apply)

7 :
A patient is prescribed alendronate at 0800 for the treatment of osteoporosis. As the nurse you know you must administer this medication:

9 :
A client diagnosed with cervical spine degeneration has undergone a laminectomy. Which intervention should the nurse implement?

10 :
A client with osteoarthritis of the left knee will undergo an injection of corticosteroids into the joint. The nurse notes that the primary reason for this injection is to:

1 : The client has been diagnosed with rheumatoid arthritis and asks, "What impact will this have on my activities of daily living in the years to come?" What is the best response by the nurse?

2 : A client with systemic lupus erythematosis has a history of tuberculosis exposure that has been treated. Which medication should the nurse question as possible cause for the lupus symptoms?

3 : A client with rheumatoid arthritis is prescribed infliximab 3 mg/kg IV. The most essential addition to the client's care plan is to:

4 : A nurse is assessing a client on the first post-operative day after a L3-4 laminectomy and diskectomy. The client now complains of numbness and tingling in the left leg. What is the nurse's first priority?

5 : When the nurse admits a client with anorexia nervosa for treatment, what factors should the therapeutic milieu provide? (select all that apply)

6 : A client describes low back pain that radiates down one leg. Which factors that aggravate the pain increase the likelihood that this client has a herniated disc? (select all that apply)

7 : A patient is prescribed alendronate at 0800 for the treatment of osteoporosis. As the nurse you know you must administer this medication:

9 : A client diagnosed with cervical spine degeneration has undergone a laminectomy. Which intervention should the nurse implement?

10 : A client with osteoarthritis of the left knee will undergo an injection of corticosteroids into the joint. The nurse notes that the primary reason for this injection is to:

1 :
The client has been diagnosed with rheumatoid arthritis and asks, "What impact will this have on my activities of daily living in the years to come?" What is the best response by the nurse?

2 :
A client with systemic lupus erythematosis has a history of tuberculosis exposure that has been treated. Which medication should the nurse question as possible cause for the lupus symptoms?

3 :
A client with rheumatoid arthritis is prescribed infliximab 3 mg/kg IV. The most essential addition to the client's care plan is to:

4 :
A nurse is assessing a client on the first post-operative day after a L3-4 laminectomy and diskectomy. The client now complains of numbness and tingling in the left leg. What is the nurse's first priority?

5 :
When the nurse admits a client with anorexia nervosa for treatment, what factors should the therapeutic milieu provide? (select all that apply)

6 :
A client describes low back pain that radiates down one leg. Which factors that aggravate the pain increase the likelihood that this client has a herniated disc? (select all that apply)

7 :
A patient is prescribed alendronate at 0800 for the treatment of osteoporosis. As the nurse you know you must administer this medication:

9 :
A client diagnosed with cervical spine degeneration has undergone a laminectomy. Which intervention should the nurse implement?

10 :
A client with osteoarthritis of the left knee will undergo an injection of corticosteroids into the joint. The nurse notes that the primary reason for this injection is to: