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. What device would be best to use for a client who is immobile?

A. Standing assist device
B. A mechanical lift
C. Transfer board
D. Gait belt

Correct answer: B

Rationale: A mechanical lift is the most suitable device for a client who is immobile as it provides safe and efficient assistance in moving the individual. A standing assist device is used for support during standing activities, not for transferring an immobile client. A transfer board is helpful for assisting a client in sliding from one surface to another but may not be the best option for someone who is completely immobile. A gait belt is used for providing support and stability during walking or transferring, which may not be effective for a client who is immobile and requires more comprehensive assistance.

3. A nurse assesses an audible grating sound (Crepitus) when a client with osteoarthritis moves his knees. What is the cause of this sound?

A. A herniated disk in the diseased joint
B. Pieces of bone and cartilage floating
C. Popping bursae from standing
D. Years of an autoimmune process

Correct answer: A

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. 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.