which of the following nonpharmacological methods cannot be used to manage the chronic pain of a client with rheumatoid arthritis

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. Which of the following nonpharmacological methods cannot be used to manage the chronic pain of a client with rheumatoid arthritis?

A. Adequate rest
B. Heat for 20-30 minutes
C. Hot showers
D. Ice for 2 hours at a time

Correct answer: D

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. The client with RA complains of intensely dry eyes. What does the nurse suspect?

A. Systemic sclerosis
B. Sjogren's syndrome
C. Chron's disease
D. Discoid lupus

Correct answer: B

Rationale:

4. A client on bed rest complains of pain and burning in the right calf area. What is the nurse's action?

A. Deeply palpate the area for rebound tenderness
B. Medicate the client for pain and reassess in 60 minutes
C. Percuss over the area for a change in tone
D. Compare the circumference to the left calf

Correct answer: D

Rationale:

5. Which finding is not typically associated with inflammation in a client?

A. Pain
B. Heat
C. Polyuria
D. Erythema

Correct answer: C

Rationale: Polyuria is excessive urination and is not a typical assessment finding in inflammation. Inflammation commonly presents with pain (A), heat (B), and erythema (D) which are classic signs of an inflammatory response. Pain results from the release of inflammatory mediators, heat is due to increased blood flow, and erythema is caused by vasodilation and increased blood flow to the area. Polyuria is more likely associated with conditions such as diabetes or renal issues, rather than inflammation.