A patient has been has been admitted to your unit with a diagnoses of rheumatoid arthritis. The nurse documents joint pain and swelling in her initial assessment. In addition to these findings, what is a classic sign of rheumatoid arthritis?
A) Cool extremities
B) Butterfly rash on face
C) Joint stiffness
D) Absence of wrinkles
Ans: C
Feedback: In addition to joint pain and swelling, another classic sign of RA is joint stiffness, especially in the morning. In rheumatoid arthritis, physical signs include warm, swollen, painful joints. A butterfly-shaped rash across the bridge of the nose and cheeks is a skin manifestation of systemic lupus erythematosus. In scleroderma, wrinkles and lines are obliterated.
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Which of the following should a nurse identify as stressors in the lives of military spouses and children? (Select all that apply.)
1. Frequent moves 2. School credit transfer issues 3. Complications of spousal employment 4. Spousal loneliness 5. Loss of military privileges during spousal deployment
A nurse is teaching an older adult who is experiencing an acute attack of gout. Which of the fol-lowing should the nurse include in the teaching? (Select all that apply.)
a. Rest the joint during the acute gout attack. b. Take acetylsalicylic acid (aspirin, or ASA) to relieve pain. c. Increase fluid intake to 2 L/day. d. Avoid foods high in purine. e. Avoid alcoholic beverages.
The nurse makes a mistake when charting on the client's record. To correct this mistake the nurse should:
a. white-out the mistake and make the correct entry. b. blot out the error with ink and make the correct entry. c. draw a line through the error, sign, and date the correction. d. leave the error intact and chart the correction immediately following the error.
The purpose of pulling on the pinna before inserting a tympanic thermometer is to straighten the ear canal.
Answer the following statement true (T) or false (F)