Management Of Clients With Rheumatic Disorders

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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
A

application of moist heat to joints.

B

encouraging moderate increase in activity.

C

promotion of a high-protein diet.

D

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

a slow, progressive schedule of daily activities.

B

complete rest during periods of exacerbation.

C

performance of activities in the early morning.

D

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

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A

application of cold compresses.

B

performing isometric exercises.

C

the use of aspirin to mask pain.

D

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

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A

avoid taking NSAIDs with milk.

B

liberalize fluids while taking NSAIDs.

C

take NSAIDs with food.

D

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

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A

a diet high in saturated fats.

B

changes in temperature.

C

exposure to the sun.

D

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

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A
difficulty swallowing.
B
interruptions in skin integrity.
C
peripheral neuropathies.
D
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
A
Aspirin
B
Digoxin (Lanoxin)
C
Gentamicin (Garamycin)
D
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

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A
Constipation.
B
Disturbed Thought Processes.
C
Risk for Imbalanced Body Temperature.
D
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
A
do not stand for longer than 30 minutes at a time.
B
exercise only moderately.
C
wash the hands with plain water only.
D
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
A
encouraging fluids to prevent constipation.
B
lubricating the eyes with artificial tears.
C
providing skin care daily.
D
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
A
difficulty ambulating.
B
difficulty swallowing.
C
disorientation.
D
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
A
cardiac dysrhythmias.
B
respiratory compromise.
C
renal failure.
D
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?

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A
Acetaminophen (Tylenol)
B
Antihistamines
C
Etanercept
D
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
A
improved appearance of the joint."
B
pain relief."
C
reduced amount of inflammation."
D
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
A
deformities of the fingers and toes.
B
fatigue, unrelieved by sleep.
C
migratory areas of numbness.
D
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
A
ankylosing spondylitis.
B
Lyme disease.
C
rheumatoid arthritis.
D
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
A
assessing the ability to grasp the nurse's hand.
B
avoiding lifting objects heavier than 10 pounds.
C
limiting flexion and extension of the elbow.
D
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

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A
exercising just before bedtime.
B
sleeping in thermal underwear.
C
taking a cool shower before bedtime.
D
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
A
create a safe environment.
B
consult with physical therapy for an exercise regimen.
C
encourage a high-calorie diet with vitamin supplements.
D
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
A
avoid drinking red wine.
B
avoid excessive sun exposure.
C
have eye examinations every 6 months.
D
measure blood pressure daily.
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