the client asks the nurse what nonpharmacological intervention can be used to reduce pain and swelling in her joints affected by rheumatoid arthritis

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. 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:

2. The client with rheumatoid arthritis is having her rheumatoid factor (RF) drawn while she is having a flare-up of the disease. Which result is seen in clients with rheumatoid arthritis?

A. Factor does not change
B. Decreased level of rheumatoid arthritis
C. A positive rheumatoid factor
D. A negative rheumatoid factor

Correct answer: C

Rationale:

3. A nurse enters the hospital room of a client with reduced immunity. What observation requires further action by the nurse?

A. The client is in a private room.
B. The client has a vase of fresh flowers on the table
C. The client has a dedicated vital signs machine
D. There is hand sanitizer by the door

Correct answer: B

Rationale:

4. What should the nurse do first if they are stuck by a needle?

A. Seek medical attention
B. Flush the exposed skin with water
C. Complete an incident report
D. Report the exposure

Correct answer: B

Rationale:

5. What is a negative effect of immobility on the cardiovascular system?

A. Increased high density lipoprotein
B. Increased circulation
C. Increased pumping action of the heart
D. Venous stasis

Correct answer: D

Rationale: Venous stasis is a negative effect of immobility on the cardiovascular system. Immobility can lead to blood pooling in the veins due to lack of movement, increasing the risk of blood clots. Choices A, B, and C are incorrect because immobility does not lead to an increase in high density lipoprotein, circulation, or the pumping action of the heart.