A client with RA says to the nurse: "I thought I had OA. How is this different?" The nurse explains that RA differs from OA in that RA:
1. is slower to progress than is OA.
2. affects only one joint at a time.
3. does not cause fever or malaise.
4. has an abrupt onset of red, swollen joints.
Answer: 4
1. Osteoarthritis can be more gradual and insidious.
2. RA affects multiple joints.
3. RA causes fever, weight loss, fatigue, and anemia.
4. RA has an abrupt onset, progresses more rapidly and affects multiple joints, causing fever, weight loss, fatigue, and anemia.
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A 9-year-old child is preparing for a lumbar puncture. What position will the nurse explain the child will assume for this procedure?
a. "On your stomach with your head turned to the side." b. "On your side, keeping the legs bent and the head arched back." c. "On your back with your legs extended straight out." d. "On your side with the knees bent and the head close to the knees."
If a nurse observes an increased pulse rate and decreased blood pressure in a new postpartum client, the nurse should suspect the client has developed which of these conditions?
a. positive Homans' sign c. dehydration b. postpartum hemorrhage d. uterine distention
A patient's postoperative wound has sanguineous drainage with a thick, reddish appearance. The nurse realizes this patient's wound is in which phase of healing?
1. Inflammatory 2. Proliferative 3. Stationary 4. Remodeling
A nurse is educating a surgical client on postoperative p.r.n. pain control. Which of the following should be included?
A) "We will bring you pain medications; you don't need to ask." B) "Even if you have pain, you may get addicted to the drugs." C) "You won't have much pain so just tough it out." D) "You need to ask for the medication before the pain becomes severe."