The nurse is caring for a child with rheumatoid arthritis. A nonpharmacological measure to reduce the joint pain is
1. moist heat.
2. elevation of extremity.
3. massage.
4. immobilization.
Answer:1
Rationale:Moist heat can promote relief of pain and decrease joint stiffness. Elevation of extremity would not have an effect on reducing pain in rheumatoid arthritis.Massage of extremities should be avoided because of a potential risk for emboli.Immobilization can lead to contractures,and range of motion to the involved joint should be maintained.
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You are evaluating the discharge teaching you have done with your patient concerning drug therapy. What statement from the patient would indicate that teaching had been effective?
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The nursing instructor is teaching the class about how prescription drugs become over-the-counter (OTC) drugs and lists what factor as preventing a drug from becoming classified as OTC?
A) If the patient cannot reliably self-diagnose the condition the drug is intended to treat B) If it would mask signs and symptoms of an underlying problem, the drug remains available by prescription only. C) If the drug would cause toxic effects if not taken as directed, it remains a prescription drug. D) OTC drugs must not have any adverse effects that could harm the patient.
The nurse is assessing a client who has been on bed rest for several weeks. Which of the following might have occurred in this client as a result of prolonged immobility?
a. Bone demineralization b. Decreased cardiac workload c. Increased respiratory excursion d. Increased peristalsis
Which of these normal heart sounds can BEST be heard on the left, fifth intercostal space close to the clavicle and occurs as the mitral and tricuspid valves close simultaneously?
a. S1 c. S3 b. S2 d. S4