The nurse suspects a client is experiencing rheumatoid arthritis ...

[amal]

The nurse suspects a client is experiencing rheumatoid arthritis when which of the following are assessed? (Select all that apply.)
 
  1. Morning stiffness lasting more than 1 hour
  2. Arthritis of three or more joint areas
  3. Arthritis of the hand joints
  4. Symmetrical arthritis
  5. Nodules over bony prominences
  6. Bruising

Question 2

An individual's sleeve catches on fire while cooking. He runs through the kitchen and out the back door. Which of the following interventions should the family perform? (Select all that apply.)
 
  1. Have the individual stand for easy access.
  2. Remove any loose debris.
  3. Remove clothing adhered to the burned area.
  4. Remove jewelry.
  5. Use the water hose to cool the burn.
  6. Cover the burned areas with a clean dry material.

[phuda]

Answer to Question 1

1, 2, 3, 4, 5
Findings consistent with rheumatoid arthritis include morning stiffness lasting more than 1 hour, arthritis of three or more joint areas, arthritis of the hand joints, symmetrical arthritis, nodules over bony prominences, presence of serum rheumatoid factions, and radiographic changes. Bruising is not a finding consistent with rheumatoid arthritis.

Answer to Question 2

2, 4, 5, 6
The individual should not stand. Standing will cause the flames and smoke to engulf the facial area. The best intervention is to stop the person; wrap him in a blanket, coat, sheet, or towel; and roll him on the ground to exclude oxygen and thereby put out the fire. Any water source can be used to extinguish flames, cool the burn, or dilute the chemical area. Once all the flame is extinguished, clothing (except clothing adhered to burned skin), jewelry, and debris are carefully removed. The burned areas should be covered with a dry clean material.