a client is diagnosed with systemic sclerosis scleroderma what symptoms is the first to occur

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. A client is diagnosed with systemic sclerosis (scleroderma). What symptoms is the first to occur?

A. Tachycardia
B. Raynaud's phenomenon
C. Intense wrinkle
D. Joint pain

Correct answer: B

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. A goal for a client with impaired mobility is to prevent skin breakdown. What nursing intervention would best help the client meet this goal?

A. Assist the client to orthopneic position
B. Offer the client a bedpan for toileting
C. Offer a protein-rich diet
D. Turn the client every 2 hours

Correct answer: D

Rationale:

4. What occurs during stage three of bone healing?

A. Consolidation
B. Callus formation
C. Granulation formation
D. Hematoma formation

Correct answer: B

Rationale: During stage three of bone healing, callus formation occurs. This process involves the formation of a soft callus made of collagen and cartilage, which bridges the gap between bone fragments. Choice A, consolidation, typically happens in later stages and involves the hardening of the callus into mature bone. Choices C and D are incorrect as granulation formation and hematoma formation occur in earlier stages of bone healing, specifically stages one and two, respectively.