Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is reinforcing teaching with a client who has rheumatoid arthritis. Which of the following statements by the client indicates understanding of the information?
A. I will schedule important tasks in the afternoon.
Scheduling important tasks in the afternoon is a good strategy for managing fatigue, it does not directly address pain relief.
B. I need to perform range-of-motion of my joints if I notice they are red.
Performing range-of-motion if joints are red may exacerbate inflammation and is not a recommended practice.
C. I should stop exercising if 1 experience any discomfort.
Stopping exercising if experiencing discomfort is essential to differentiate between normal discomfort and pain that may indicate potential harm. Continuing with mild discomfort may be appropriate.
D. I can use heat or cold to help relieve my pain
Both heat and cold applications can provide relief from rheumatoid arthritis pain and inflammation.
This question is an excerpt from Nurse Dive's nursing test bank - Dumund ATI comprehensive med surg proctored exam. Take the full exam now
Full Explanation
A. Scheduling important tasks in the afternoon is a good strategy for managing fatigue, it does not directly address pain relief.
B. Performing range-of-motion if joints are red may exacerbate inflammation and is not a recommended practice.
C. Stopping exercising if experiencing discomfort is essential to differentiate between normal discomfort and pain that may indicate potential harm. Continuing with mild discomfort may be appropriate.
D. Both heat and cold applications can provide relief from rheumatoid arthritis pain and inflammation.
Similar Questions
A nurse is preparing to administer immunizations to a patient who has an allergy to eggs. The nurse should know that an allergy to eggs is a contraindication for which of the following immunizations?
A. Influenza (TIV)
Influenza vaccines are typically produced using eggs, and individuals with egg allergies may react to the vaccine. However, there are egg-free alternatives available, and consultation with an allergist is recommended in such cases.
B. Inactivated poliovirus (IPV)
Polio vaccines do not contain egg proteins and are safe for individuals with egg allergies.
C. Haemophilus influenza type b (Hib)
Hib vaccines are not contraindicated for individuals with egg allergies.
D. Hepatitis B (Hep B)
Hepatitis B vaccines do not contain egg proteins and are generally safe for individuals with egg allergies.
Full Explanation
A. Influenza vaccines are typically produced using eggs, and individuals with egg allergies may react to the vaccine. However, there are egg-free alternatives available, and consultation with an allergist is recommended in such cases.
B. Polio vaccines do not contain egg proteins and are safe for individuals with egg allergies.=
C. Hib vaccines are not contraindicated for individuals with egg allergies.
D. Hepatitis B vaccines do not contain egg proteins and are generally safe for individuals with egg allergies.
A nurse is caring for a client who experiences anaphylactic shock in response to the administration of penicillin. Which of the following medications should the nurse administer first?
A. Albuterol
The first-line treatment for anaphylactic shock is epinephrine, as it rapidly reverses the severe manifestations of an allergic reaction.
B. Hydrocortisone sodium succinate
Albuterol is a bronchodilator and may help with respiratory symptoms but is not the first-line treatment for anaphylaxis.
C. Diphenhydramine
Steroids like hydrocortisone may be used in conjunction with epinephrine but are not the immediate first choice.
D. Epinephrine
Diphenhydramine may be used to manage symptoms but is not as rapidly effective as epinephrine.
Full Explanation
A. The first-line treatment for anaphylactic shock is epinephrine, as it rapidly reverses the severe manifestations of an allergic reaction.
B. Albuterol is a bronchodilator and may help with respiratory symptoms but is not the first-line treatment for anaphylaxis.
C. Steroids like hydrocortisone may be used in conjunction with epinephrine but are not the immediate first choice.
D. Diphenhydramine may be used to manage symptoms but is not as rapidly effective as epinephrine.
A nurse is collecting data from a client who has seasonal allergies and is taking an antihistamine. Which of the following findings is an adverse effect of this type of medication?
A. Increased blood pressure
Antihistamines typically cause a mild decrease in blood pressure.
B. Dry mouth
Antihistamines often have anticholinergic effects, leading to dry mouth.
C. Photophobia
This is not a common adverse effect of antihistamines.
D. Diarrhea
Antihistamines are more likely to cause constipation than diarrhea.
Full Explanation
A. Antihistamines typically cause a mild decrease in blood pressure.
B. Antihistamines often have anticholinergic effects, leading to dry mouth.
C. This is not a common adverse effect of antihistamines.
D. Antihistamines are more likely to cause constipation than diarrhea.