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 intervention by the nurse would be the best to prevent deep vein thrombosis after a fracture of the hip?

A. Encouraging bedrest
B. Applying antiembolism stockings
C. Tell the client to take anticoagulants
D. Teaching about smoking cessation

Correct answer: B

Rationale: The best intervention to prevent deep vein thrombosis (DVT) after a fracture of the hip is to apply antiembolism stockings. These stockings help promote circulation and prevent blood clots from forming in the legs due to immobility. Encouraging bedrest is not recommended as it can increase the risk of DVT. While anticoagulants are used in some cases, the primary prevention method is mechanical prophylaxis like antiembolism stockings. Teaching about smoking cessation is important for overall health but is not directly related to preventing DVT in this scenario.

3. What is not a potential complication of RA?

A. Paresthesia's
B. Fibromyalgia
C. Joint deformity
D. Dry eyes

Correct answer: A

Rationale:

4. What medication class can decrease tissue inflammation but delays bone healing?

A. Anticoagulants
B. Nonsteroidal anti-inflammatory drugs (NSAIDs)
C. Opioids
D. Narcotics

Correct answer: B

Rationale: The correct answer is B: Nonsteroidal anti-inflammatory drugs (NSAIDs). NSAIDs are known to decrease tissue inflammation but may delay bone healing. Anticoagulants (Choice A) are used to prevent blood clotting, opioids (Choice C) are pain relievers, and narcotics (Choice D) are drugs that affect the central nervous system. While all the choices may have their own indications and uses in healthcare, NSAIDs are specifically associated with delaying bone healing despite their anti-inflammatory properties.