Medical, Pharmaceutical & Health Sciences
NursingSurgical NursingMedical Surgical Nursing Clinical ManagementPractice Set 55
NursingSurgical NursingMedical Surgical Nursing Clinical ManagementPractice Set 55Management Of Clients With Rheumatic Disorders
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- Health Promotion and Disease PreventionHealth AssessmentCritical ThinkingComplementary and Alternative TherapiesAmbulatory Health CareAcute Health CareCritical CareHome Health CareLong-Term CareRehabilitationClients with Fluid ImbalancesClients with Electrolyte ImbalancesAcid-Base BalanceClients Having SurgeryPerspectives in GeneticsPerspectives in OncologyClients with CancerClients with WoundsPerspectives on Infectious Disease and BioterrorismClients with PainPerspectives in Palliative CareClients with Sleep and Rest Disorders and FatigueClients with Psychosocial and Mental Health ConcernsClients with Substance Abuse DisordersAssessment of the Musculoskeletal SystemManagement of Clients with Musculoskeletal DisordersManagement of Clients with Musculoskeletal Trauma or OveruseAssessment of Nutrition and the Digestive SystemManagement of Clients with MalnutritionManagement of Clients with Ingestive DisordersManagement of Clients with Digestive DisordersAssessment of EliminationManagement of Clients with Intestinal DisordersManagement of Clients with Urinary DisordersManagement of Clients with Renal DisordersManagement of Clients with Renal FailureAssessment of the Reproductive SystemManagement of Men with Reproductive DisordersManagement of Women with Reproductive DisordersManagement of Clients with Breast DisordersManagement of Clients with Sexually Transmitted InfectionsAssessment of the Endocrine and Metabolic SystemsManagement of Clients with Thyroid and Parathyroid DisordersManagement of Clients with Adrenal and Pituitary DisordersManagement of Clients with Diabetes MellitusManagement of Clients with Exocrine Pancreatic and Biliary DisordersManagement of Clients with Hepatic DisordersAssessment of the Integumentary SystemManagement of Clients with Integumentary DisordersManagement of Clients with Burn InjuryAssessment of the Vascular SystemManagement of Clients with Hypertensive DisordersManagement of Clients with Vascular DisordersAssessment of the Cardiac SystemManagement of Clients with Structural Cardiac DisordersManagement of Clients with Functional Cardiac DisordersManagement of Clients with DysrhythmiasManagement of Clients with Myocardial InfarctionAssessment of the Respiratory SystemManagement of Clients with Upper Airway DisordersManagement of Clients with Lower Airway and Pulmonary VesselManagement of Clients with Parenchymal and Pleural DisordersManagement of Clients with Acute Pulmonary DisordersAssessment of the Eyes and EarsManagement of Clients with Visual DisordersManagement of Clients with Hearing and Balance DisordersAssessment of the Neurologic SystemManagement of Comatose or Confused ClientsManagement of Clients with Cerebral DisordersManagement of Clients with StrokeManagement of Clients with Peripheral Nervous System DisordersManagement of Clients with Degenerative Neurologic DisordersManagement of Clients with Neurologic TraumaAssessment of the Hematopoietic SystemManagement of Clients with Hematologic DisordersManagement of Clients with Immune DisordersManagement of Clients with Rheumatic DisordersManagement of Clients with Acquired Immunodeficiency SyndromeManagement of Clients with Leukemia and LymphomaManagement of Clients Requiring TransplantationManagement of Clients with Shock and Multisystem DisordersManagement of Clients in the Emergency Department
Question 1
Free
Multiple Choice
The intervention the client with rheumatoid arthritis (RA) can do that is most effective in preserving motor function during periods when the affected joints are not inflamed is
Choose correct answer/s
application of moist heat to joints.
encouraging moderate increase in activity.
promotion of a high-protein diet.
restriction of the client's activity.
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Question 2
Free
Multiple Choice
A client with RA is anxious to perform all of her activities of daily living. The nurse can best help the client by encouraging
Choose correct answer/s
a slow, progressive schedule of daily activities.
complete rest during periods of exacerbation.
performance of activities in the early morning.
the use of assistive devices for dressing.
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Question 3
Free
Multiple Choice
The nurse cautions a client with RA that uninformed self-treatment that has the potential to make her condition worse is
Choose correct answer/s
application of cold compresses.
performing isometric exercises.
the use of aspirin to mask pain.
the use of deep heat.
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Question 4
Free
Multiple Choice
The caution the nurse should give the client who is taking nonsteroidal anti-inflammatory drugs (NSAIDs) as a remedy for arthritis is to
Choose correct answer/s
avoid taking NSAIDs with milk.
liberalize fluids while taking NSAIDs.
take NSAIDs with food.
watch for manifestations of skin damage.
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Question 5
Free
Multiple Choice
The nurse caring for a client with systemic lupus erythematosus (SLE) should warn the client that the factor most likely to cause an exacerbation of this disorder is
Choose correct answer/s
a diet high in saturated fats.
changes in temperature.
exposure to the sun.
ingestion of aspirin.
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Question 6
Multiple Choice
The nursing assessment of clients with SLE should focus most intensely on the presence of the common and serious sequela of this disorder, which is
Choose correct answer/s
difficulty swallowing.
interruptions in skin integrity.
peripheral neuropathies.
renal failure.
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Question 7
Multiple Choice
A client is being evaluated for SLE. The nurse would be concerned when the client lists which drug as one of his/her routine medications?
Choose correct answer/s
Aspirin
Digoxin (Lanoxin)
Gentamicin (Garamycin)
Procainamide (Pronestyl)
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Question 8
Multiple Choice
When the nurse is caring for a client with progressive systemic sclerosis (PSS), the highest-priority nursing diagnosis would be
Choose correct answer/s
Constipation.
Disturbed Thought Processes.
Risk for Imbalanced Body Temperature.
Risk for Impaired Skin Integrity.
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Question 9
Multiple Choice
The nurse caring for a client with systemic sclerosis should include in the teaching plan the measure to prevent pain and injury, which is
Choose correct answer/s
do not stand for longer than 30 minutes at a time.
exercise only moderately.
wash the hands with plain water only.
wear gloves when removing food from the freezer.
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Question 10
Multiple Choice
The nursing care plan should be modified for a client with RA who develops Sjögren's syndrome to include
Choose correct answer/s
encouraging fluids to prevent constipation.
lubricating the eyes with artificial tears.
providing skin care daily.
restricting activity in the late evening.
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Question 11
Multiple Choice
A client has dermatomyositis. The nurse will include priority interventions in the care plan provisions to meet the problem of
Choose correct answer/s
difficulty ambulating.
difficulty swallowing.
disorientation.
phlebitis.
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Question 12
Multiple Choice
The common complication of ankylosing spondylitis that the nurse should address in the plan of care is
Choose correct answer/s
cardiac dysrhythmias.
respiratory compromise.
renal failure.
weight gain.
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Question 13
Multiple Choice
The nurse planning teaching for the client with ankylosing spondylitis includes information on which drug?
Choose correct answer/s
Acetaminophen (Tylenol)
Antihistamines
Etanercept
Lorazepam (Ativan)
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Question 14
Multiple Choice
A client with RA asks the nurse about the purpose of a synovectomy. The most appropriate response from the nurse is "This operation will provide you with
Choose correct answer/s
improved appearance of the joint."
pain relief."
reduced amount of inflammation."
removal of infected material in the joint."
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Question 15
Multiple Choice
The nurse performing an assessment on a client with fibromyalgia syndrome asks about the most common clinical manifestation, which is
Choose correct answer/s
deformities of the fingers and toes.
fatigue, unrelieved by sleep.
migratory areas of numbness.
varying degrees of paresthesias.
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Question 16
Multiple Choice
The nurse explains that one of the few rheumatic joint diseases about which we know the infectious etiology is
Choose correct answer/s
ankylosing spondylitis.
Lyme disease.
rheumatoid arthritis.
Sjögren's syndrome.
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Question 17
Multiple Choice
The nurse caring for a client who had a shoulder arthroplasty yesterday will include in the postoperative care provisions for
Choose correct answer/s
assessing the ability to grasp the nurse's hand.
avoiding lifting objects heavier than 10 pounds.
limiting flexion and extension of the elbow.
positioning the arm below the shoulder.
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Question 18
Multiple Choice
To help promote sleep for a client with RA, the nurse would recommend
Choose correct answer/s
exercising just before bedtime.
sleeping in thermal underwear.
taking a cool shower before bedtime.
using a large pillow and warm, heavy blankets.
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Question 19
Multiple Choice
A client with ankylosing spondylitis has severe kyphosis. The nurse planning care for this client would provide priority interventions to
Choose correct answer/s
create a safe environment.
consult with physical therapy for an exercise regimen.
encourage a high-calorie diet with vitamin supplements.
use meticulous technique when changing surgical dressings.
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Question 20
Multiple Choice
An important health promotion measure the nurse would advise the client beginning therapy with hydroxychloroquine for RA would be to
Choose correct answer/s
avoid drinking red wine.
avoid excessive sun exposure.
have eye examinations every 6 months.
measure blood pressure daily.
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