During the physical assessment of the patient with early to moderate RA, what should the nurse expect to find?

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NCLEX Questions for Neurological System Questions

Question 1 of 5

During the physical assessment of the patient with early to moderate RA, what should the nurse expect to find?

Correct Answer: C

Rationale: In the physical assessment of a patient with early to moderate rheumatoid arthritis (RA), the nurse should expect to find spindle-shaped fingers (Option C) as a characteristic manifestation. This is due to synovitis causing inflammation in the joints, leading to a characteristic deformity of the fingers. A) Hepatomegaly (Option A) is not typically associated with RA. It is more commonly seen in conditions like liver disease or heart failure. B) Heberden's nodes (Option B) are bony swellings that occur at the distal interphalangeal joints and are commonly seen in osteoarthritis, not RA. D) Crepitus on joint movement (Option D) is a sensation of grating or grinding within the joint and is more commonly associated with osteoarthritis due to the wearing down of cartilage, not typically seen in early to moderate RA. Educationally, understanding the characteristic signs and symptoms of RA is crucial for nurses to provide effective care and support to patients with this condition. Recognizing spindle-shaped fingers can help in early identification and management of RA, leading to improved outcomes for patients. Nurses need to be able to differentiate between various joint conditions to provide appropriate care and support to patients with rheumatoid arthritis.

Question 2 of 5

To assess the Glasgow Coma Scale (GCS), the nurse needs to evaluate:

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

What does a positive Babinski sign in an adult suggest?

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

When assessing the patient's ability to perform fine motor tasks, the nurse should:

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

Which of the following might indicate a problem with the patient's sensory system?

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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