The nurse knows rheumatoid arthritis affects the musculoskeletal system by causing:
a. muscle weakness.
b. muscle wasting.
c. muscle inflammation.
d. muscle mobility.
ANS: C
Rheumatoid arthritis and osteoarthritis cause inflammation of joints, resulting in pain and limited joint mobility, not muscle mobility. Genetic disorders such as muscular dystrophy result in muscle weakness and gradual muscle wasting.
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The nurse is observing a client with major burn injuries for signs of Curling ulcer, a common complication. The nurse should assess the client for:
1. frequent headaches. 2. black, tarry stools. 3. hypertension. 4. purulent drainage from wound sites.
The nurse instructing a client with social phobia about anxiety medications knows the teaching has been effective when the client states, "I know I:
1. "Can use other medications.". 2. "Can't drink decaffeinated beverages.". 3. "Can't consume alcohol.". 4. "Can stop the medication any time.".
The nurse is preparing a class on breastfeeding for pregnant women in their first trimester. The women are from a variety of cultural backgrounds, and all speak English well. Which statement should the nurse include in this presentation?
1. "Although some cultures believe colostrum is not good for the baby, it provides protection from infections and helps the digestive system to function." 2. "Some women are uncomfortable with exposing their breasts to nurse their infant, but it really isn't a big deal. You will get used to it." 3. "No religion prescribes a feeding method, so you all can choose whatever method makes the most sense to you." 4. "Many cultures consider skinny babies to be healthier than chubby babies. Breastfeeding is best for those people."
A patient is taking warfarin sodium. The nurse will reinforce teaching by telling the patient that he should watch for
1. bleeding. 2. pain. 3. headache. 4. rash.