the nurse is caring for a client with rheumatoid arthritis one day after the shoulder surgery what would prompt the nurse to call the provider immedia

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. The nurse is caring for a client with rheumatoid arthritis one day after shoulder surgery. What would prompt the nurse to call the provider immediately?

A. The client refused her pain medication this morning and is doing physical therapy.
B. The client reports a minor headache and states she takes an over-the-counter pain pill at home.
C. The client reports intermittent flatus and minor abdominal discomfort.
D. The client has paresthesia in her fingers and intense increasing pain in her shoulder.

Correct answer: D

Rationale: In a client with rheumatoid arthritis one day after shoulder surgery, paresthesia in the fingers and intense increasing pain in the shoulder could indicate nerve compression or damage, which are serious post-operative complications. This situation requires immediate attention from the provider to prevent further complications and ensure appropriate management. The other options, such as refusing pain medication, reporting a minor headache, or experiencing minor abdominal discomfort, are important but not as urgent or indicative of potential serious complications as paresthesia in the fingers and intense increasing pain in the shoulder.

2. The nurses assess the client's pain prior to completing a dressing change. The client says his current pain is 5/10, but he has pain of 10/10 when his dressing is changed. What is the priority intervention for this client?

A. Offer the client protein with meals to promote healing
B. Remove the old dressing with clean gloves
C. Teach the client about nonpharmacological pain control methods
D. Check medication administration record (MAR)for as needed orders (PRN)

Correct answer: C

Rationale:

3. What does CREST stand for?

A. Calcinosis, Raynaud's, Esophageal dysmotility, Sclerodactyly and Telecines
B. Calcinosis, Reverse isolation, Esophageal dysmotility, Sclerodactyly and Telangiectasia
C. Calcinosis, Raynaud's, Everted colon, Sclerodactyly and Telangiectasia
D. Calcinosis, Raynaud's Esophageal dysmotility, Sclerodactyly and telangiectasia

Correct answer: D

Rationale:

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.