A patient with rheumatoid arthritis being seen in the clinic has rheumatoid nodules on the elbows. Which action will the nurse take?
a. Draw blood for rheumatoid factor analysis.
b. Teach the patient about injections for the nodules.
c. Assess the nodules for skin breakdown or infection.
d. Discuss the need for surgical removal of the nodules.
ANS: C
Rheumatoid nodules can break down or become infected. They are not associated with changes in rheumatoid factor, and injection is not needed. Rheumatoid nodules are usually not removed surgically because of a high probability of recurrence.
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In which of the following cases should a progress note be written? Select all that apply
A) for any nurse–patient interaction B) when admitting a patient C) when receiving a patient postoperatively D) when assisting a patient with ADLs E) when a procedure is performed F) when a patient sends back an untouched dinner tray
The nursing process consists of: a. assessment, identification, planning,implementation and evaluation
b. subjective, objective, assessment and planning. c. subjective, objective, assessment, planning,intervention, evaluation and reassessment. d. writing nursing notes.
Nursing students in a community health nursing course identified toxic waste disposal to be a major problem in their community
The most cost-effective type of community assessment to determine the extent of the problem and the resources available to handle it would be a A) familiarization assessment. B) community subsystem assessment. C) problem-oriented assessment. D) comprehensive community assessment.
The nurse is providing care to a client who is diagnosed with muscle spasticity. The client wants to know the difference between muscle spasticity and muscle spasm. Which response by the nurse is most appropriate?
1. "A muscle spasm causes certain muscle groups to remain in a continuous state of contraction." 2. "Muscle spasms include scissoring movements of the lower extremities." 3. "Muscle spasticity causes pain that is more intense than muscle spasm and produces greater impairment of mobility." 4. "Muscle spasticity is a chronic neurologic disorder that is characterized by involuntary muscle contraction that forces body parts into abnormal, painful movements or postures."