Nursing Management Arthritis And Connective Tissue Diseases

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Question 1
Free
Multiple Choice

Which of the following findings should the nurse expect when assessing an older-adult client who has osteoarthritis (OA) of the left knee?

Choose correct answer/s
A

Heberden nodules

B

Pain upon joint movement

C

Redness and swelling of the knee joint

D

Stiffness that increases with movement

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Question 2
Free
Multiple Choice

Which of the following assessment findings about a client who has been using naproxen for 3 weeks to treat osteoarthritis is most important for the nurse to report to the health care provider?

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A

The client has dark-coloured stools.

B

The client's pain has not improved.

C

The client is using capsaicin cream.

D

The client has gained 3 pounds over 3 weeks.

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Question 3
Free
Multiple Choice

The nurse is teaching a client with osteoarthritis (OA) of the left hip and knee about how to manage the OA. Which of the following client statements indicates a need for more education?

Choose correct answer/s
A

"I can take glucosamine to help decrease my knee pain."

B

"I will take 1 g of acetaminophen every 4 hours."

C

"I will take a shower in the morning to help relieve stiffness."

D

"I can use a cane to decrease the pressure and pain in my hip."

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Question 4
Free
Multiple Choice

The nurse is planning care for a client who has osteoarthritis. Which of the following medications should the nurse anticipate being prescribed for the client?

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A

Adalimumab

B

Prednisone

C

Capsaicin cream

D

Sulphasalazine

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Question 5
Free
Multiple Choice

Aclient who has rheumatoid arthritis is seen in the outpatient clinic and the nurse notes that rheumatoid nodules are present on the client's elbows. Which of the following actions should the nurse take?

Choose correct answer/s
A

Draw blood for rheumatoid factor analysis.

B

Teach the client about injection of the nodule.

C

Assess the nodules for skin breakdown or infection.

D

Discuss the need for surgical removal of the nodule.

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Question 6
Multiple Choice

The nurse is caring for a client with a new diagnosis of rheumatoid arthritis. Which of the following actions should the nurse include in the plan of care?

Choose correct answer/s
A
Instruct the client to purchase a soft mattress.
B
Teach client to use lukewarm water when bathing.
C
Suggest that the client take a nap in the afternoon.
D
Suggest exercise with light weights several times daily.
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Question 7
Multiple Choice

The home health nurse is visiting a client who has rheumatoid arthritis (RA) and tells the nurse about having chronically dry eyes. Which of the following actions by the nurse is most appropriate?

Choose correct answer/s
A
Reassure the client that dry eyes are a common problem with RA.
B
Teach the client more about adverse effects of the RA medications.
C
Suggest that the client start using over-the-counter (OTC) artificial tears.
D
Ask the health care provider about lowering the methotrexate dose.
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Question 8
Multiple Choice

Which of the following information should the nurse include whenteaching range-of-motion exercises to a client with an exacerbation of rheumatoid arthritis?

Choose correct answer/s
A
Affected joints should not be exercised when pain is present.
B
Application of cold packs before exercise may decrease joint pain.
C
Exercises should be performed passively by someone other than the client.
D
Walking may substitute for range-of-motion (ROM) exercises on some days.
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Question 9
Multiple Choice

The nurse is caring for a client with an acute exacerbation of rheumatoid arthritis and is prescribed prednisone. Which of the following laboratory results should the nurse monitor to determine whether the medication has been effective?

Choose correct answer/s
A
Blood glucose test
B
Liver function tests
C
C-reactive protein level
D
Serum electrolyte levels
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Question 10
Multiple Choice

The nurse is teaching a client who has rheumatoid arthritis (RA) about how to manage activities of daily living. Which of the following information should the nurse include in the teaching plan?

Choose correct answer/s
A
Stand rather than sit when performing household chores.
B
Avoid activities that require continuous use of the same muscles.
C
Strengthen small hand muscles by wringing sponges or washcloths.
D
Protect the knee joints by sleeping with a small pillow under the knees.
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Question 11
Multiple Choice

The nurse is assisting a client with rheumatoid arthritis (RA) to plan a daily routine. Which of the following information should the nurse include when discussing the most helpful way to start the day?

Choose correct answer/s
A
A warm bath followed by a short rest
B
A short routine of isometric exercises
C
Active range-of-motion (ROM) exercises
D
Stretching exercises to relieve joint stiffness
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Question 12
Multiple Choice

The nurse is caring for a client who has rheumatoid arthritis (RA) and is prescribed anakinra. Which of the following information should the nurse include when teaching the client about this drug?

Choose correct answer/s
A
Self-administration of subcutaneous injections
B
Take the medication with at least 240 mL of fluid.
C
Avoid concurrently taking Aspirin or nonsteroidal anti-inflammatory drugs (NSAIDs).
D
Symptoms of gastrointestinal (GI) irritation or bleeding
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Question 13
Multiple Choice

The nurse is caring for a client who has three school-age children and recently diagnosed with rheumatoid arthritis (RA). The client tells the nurse that the inability to be involved in many family activities is causing stress at home. Which of the followingresponses by the nurse is most appropriate?

Choose correct answer/s
A
"You may need to see a family therapist for some help."
B
"Tell me more about the situations that are causing stress."
C
"Perhaps it would be helpful for you and your family to get involved in a support group."
D
"Your family may need some help to understand the impact of your rheumatoid arthritis."
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Question 14
Multiple Choice

Which of the following information should the nurse include when teaching a client with newly diagnosed ankylosing spondylitis (AS) about the management of the condition?

Choose correct answer/s
A
Exercise by taking long walks.
B
Do daily deep-breathing exercises.
C
Sleep on the side with hips flexed.
D
Take frequent naps during the day.
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Question 15
Multiple Choice

The nurse is caring for a young adult client hospitalized with a fever and red, hot, painful knees and is suspected of having septic arthritis. Which of the following information obtained during the nursing history indicates a risk factor for septic arthritis?

Choose correct answer/s
A
Has a parent who has reactive arthritis.
B
Is sexually active and has multiple partners.
C
Recently returned from a trip to South America.
D
Had several sports-related knee injuries as a teenager.
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Question 16
Multiple Choice

While working at a summer camp, the nurse notices a circular lesion with a red border and clear centre on the arm of a client who is in the camp clinic complaining of chills and muscle aches. Which of the following actions should the nurse take next?

Choose correct answer/s
A
Palpate the abdomen.
B
Auscultate the heart sounds.
C
Ask the client about recent outdoor activities.
D
Question the client about immunization history.
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Question 17
Multiple Choice

The nurse is caring for a young adult client with urethritis and knee pain who has been diagnosed with reactive arthritis. Which of the following medications should the nurse include in the teaching plan?

Choose correct answer/s
A
Anakinra
B
Etanercept
C
Doxycycline
D
Methotrexate
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Question 18
Multiple Choice

The nurse is caring for a client with an acute attack of gout and is being treated with colchicine. Which of the following assessment data indicates the effectiveness of this mediation?

Choose correct answer/s
A
Relief of joint pain
B
Increased urine output
C
Elevated serum uric acid
D
Decreased white blood cells
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Question 19
Multiple Choice

The nurse is caring for a client with gout and takes losartan for control of the condition. Which of the following laboratory results should the nurse plan to monitor in the client?

Choose correct answer/s
A
Blood glucose
B
Blood pressure
C
Erythrocyte count
D
Lymphocyte count
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Question 20
Multiple Choice

The nurse is caring for a client in a long-term care facility who takes multiple medications and has developed acute gouty arthritis. Which of the following medications should not be given until the health care provider has been consulted?

Choose correct answer/s
A
Sertraline
B
Famotidine
C
Oxycodone
D
Hydrochlorothiazide
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