NUR 257 EXAM 1 LATEST VERIFIED EXAM COMPLETE 200 QUESTIONS & CORRECT DETAILED RESPONSES

NUR 257 EXAM 1 LATEST VERIFIED EXAM COMPLETE 200 QUESTIONS & CORRECT DETAILED RESPONSES The nurse is completing the physical assessment of a client with systemic lupus erythematosus (SLE). Which finding will the nurse recognize is most likely to indicate that the client is experiencing a change to the cardiovascular system because of the condition? Bounding peripheral pulses Pericardial friction rub Jugular vein distention Peripheral edema Pericardial friction rub The nurse is preparing teaching for a client with rheumatoid arthritis (RA). Which information will the nurse include in these instructions? Select all that apply. Alternative living arrangements Medication therapy Nonpharmacologic pain management techniques Actions to cope with stress Nutritious eating plan Medication therapy Nutritious eating plan Actions to cope with stress Nonpharmacologic pain management techniques A client with Sjogren's syndrome is experiencing xerostomia. Which information will the nurse provide to help alleviate this client's problem? Select all that apply. Omit spicy and salty foods Avoid smoking Limit the intake of alcohol Eat small frequent meals Use antiseptic mouthwash twice a day Avoid smoking Eat small frequent meals Omit spicy and salty foods Limit the intake of alcohol A client with osteoarthritis expresses concerns that the disease will prevent the ability to complete daily chores. Which suggestion should the nurse offer? "Do all your chores after performing morning exercises to loosen up." "Do all your chores in the evening, when pain and stiffness are least pronounced." "Pace yourself and rest frequently, especially after activities." "Do all your chores in the morning, when pain and stiffness are least pronounced." "Pace yourself and rest frequently, especially after activities." The nurse is completing a health history with a client diagnosed with systemic lupus erythematosus (SLE). Which information will the nurse identify as environmental triggers for the condition? Select all that apply. Sunlight Cigarette smoking Recent surgery Stress Vegetarian diet Stress Sunlight Recent surgery Cigarette smoking The nurse is performing an admission interview for a client with rheumatoid arthritis. Which finding will the nurse document as abnormal for this client? Select all that apply. Nausea Joint swelling Stiffness Pain Weakness Pain Stiffness Weakness Joint swelling A clinic nurse is caring for a client diagnosed with rheumatoid arthritis (RA). The client tells the nurse that she has not been taking her medication because she usually cannot remove the childproof medication lids. How can the nurse best facilitate the client's adherence to her medication regimen? Have the client approach her primary provider to explore medication alternatives. Encourage the client to store the bottles with their tops removed. Have a trusted family member take over the management of the client's medication regimen. Encourage her to have her pharmacy replace the tops with alternatives that are easier to open. Encourage her to have her pharmacy replace the tops with alternatives that are easier to open. A client is seen in the office for reports of joint pain, swelling, and a low-grade fever. What blood studies does the nurse know are consistent with a positive diagnosis of rheumatoid arthritis (RA)? Select all that apply. Aspartate aminotransferase (AST) and alanine transaminase (ALT) levels of 7 units/L Positive antinuclear antibody (ANA) Red blood cell (RBC) count of 4.0 million/mcL Red blood cell (RBC) count of 4.0 million/uL Positive C-reactive protein (CRP) Positive C-reactive protein (CRP) Positive antinuclear antibody (ANA) Red blood cell (RBC) count of 4.0 million/mcL A client is diagnosed with psoriatic arthritis. In which areas will the nurse expect the client to experience pain? Select all that apply. Intercostals Achilles tendon Scapula Tibial tuberosities Plantar fascia Plantar fascia Achilles tendon Tibial tuberosities The side effect of bone marrow depression may occur with which medication used to treat gout? Colchicine Probenecid Prednisone Allopurinol Allopurinol A patient has had a stroke and is unable to move the right upper and lower extremity. During assessment the nurse picks up the arm and it is limp and without tone. How would the nurse document this finding? Rigidity Atonic Flaccidity Tetanic Flaccidity A client is scheduled to have an x-ray examination of the shoulder in which the synovial fluid will be aspirated and sent to the laboratory for analysis. This will be followed by administration of a contrast medium and x-rays. What procedure will the nurse prepare the client for? Bone densitometry Arthrogram Arthrocentesis Arthroscopy Arthrogram The nurse is performing an assessment on an older adult patient and observes the patient has an increased forward curvature of the thoracic spine. What does the nurse understand this common finding is known as? Scoliosis Kyphosis Osteoporosis Lordosis Kyphosis Which of the following is the priority nursing diagnosis for the client preparing for a bone marrow biopsy? Deficient knowledge: procedure Acute pain Risk for ineffective peripheral tissue perfusion Risk for infection Deficient knowledge: procedure The nurse is assessing a client's peroneal nerve. What technique will the nurse use? Prick the medial surface of the sole. Ask the client to invert and evert the foot. Ask the client to plantar flex the toes. Prick the skin mid-way between the great and second toe. Prick the skin mid-way between the great and second toe. The nurse is educating a client on signs and symptoms of fibromyalgia. Which assessment technique would cause pain that indicates fibromyalgia? Pinch the Achilles tendon. Inflate the blood pressure cuff an extra 20 mm Hg. Strike the patella with a reflex hammer. Apply pressure to the thumb. Pinch the Achilles tendon.