arthritis

When caring for a patient with rheumatoid arthritis, the nurse takes which action when noting the presence of a single, hot, swollen, and painful wrist joint?

notify HCP

Which action does the nurse take after observing bleeding and synovial fluid leakage at the insertion site in a patient after an arthrocentesis?

notify HCP

Which action does the nurse take when a patient with rheumatoid arthritis reports cervical pain radiating down one arm?

notify HCP

The nurse monitors for which complication of spinal column involvement when a patient with rheumatoid arthritis (RA) reports cervical pain? Select all that apply. One, some, or all responses may be correct.

para quad impaired resp

The nurse suspects which condition when a patient with rheumatoid arthritis experiences clinical manifestations of vasculitis, including burning and tingling in the legs and footdrop?

peripheral neuropathy

Which assessment finding helps the nurse to identify rheumatoid arthritis in a patient with joint pain?

presence of bilateral

After teaching a patient with arthritis about self-management of energy conservation, the nurse identifies that which statement made by the patient needs correction?

"I will try not to bother my family and friends by asking them for help."

The plan of care for a patient taking methotrexate for rheumatoid arthritis includes the goal of decreased pain and inflammation. Which cue would lead the nurse to conclude the goal has been met?

1 mile walk taken every week

What is the initial loading dose of leflunomide that is used for pain management in patients with rheumatoid arthritis (RA)? Record your answer using a whole number.___ mg

100 mg

Which biological response modifier (BRM) that is used to treat rheumatoid arthritis has associated adverse drug effects of hypertension, GI distress, and infection from opportunistic pathogens?

Golimumab

The nurse expects which laboratory finding in a patient who presents with symptoms of rheumatoid arthritis (RA)?

ANA

The nurse is assessing a patient with rheumatoid arthritis (RA) who presents for an examination. Which finding would lead the nurse to believe the disease has become systemic? Select all that apply. One, some, or all responses may be correct.

all five

The nurse questions which item that is listed on a plan of care to facilitate sleep in patients with arthritis?

Encourage the patient to consume cold beverages before sleeping

Which finding in a patient with rheumatoid arthritis supports the nurse's conclusion of vasculitis?

Ischemic skin lesions around the nail bed

The nurse suspects which diagnosis after reviewing the diagnostic reports of a patient who reports joint swelling and pain along with dryness in the eyes, mouth, and vagina?

RA

Which disease manifests as fever, weight loss, generalized weakness, fatigue, and the inflammation of the proximal interphalangeal (PIP) and metacarpophalangeal (MCP) joints of the hands?

RA

Which syndrome is the most common in advanced rheumatoid arthritis (RA)?

Sjögren syndrome

A patient with rheumatoid arthritis asks the nurse how to relieve pain without taking medications. Which intervention would the nurse include in the teaching plan? Select all that apply. One, some, or all responses may be correct.

all five

The health care provider prescribed laboratory testing for a patient with suspected rheumatoid arthritis (RA). Which positive test result would support this diagnosis? Select all that apply. One, some, or all responses may be correct.

all five

The nurse is reviewing the health record of a patient with a 20-year history of rheumatoid arthritis. Based on the information in the record, which parameter would the nurse plan to assess? Select all that apply. One, some, or all responses may be correct.

all five

When caring for a patient who receives chronic steroid therapy to treat rheumatoid arthritis, the nurse monitors for which complication associated with the medication use? Select all that apply. One, some, or all responses may be correct.

all six

Which drug is an interleukin-1 (IL-1) receptor antagonist?

ana kinra

After providing education for a patient with rheumatoid arthritis who receives a prescription for methotrexate, the nurse identifies that which statement made by the patient indicates the need for further teaching?

any side fx of this drug will be taken

A patient with multiple limitations because of rheumatoid arthritis is demanding and constantly critical. The nurse determines the patient is trying to control others because the disease cannot be controlled. Which action would the nurse take to improve the patient's self-worth?

audio record thoughts in a blog

The nurse provides which medication instruction to a patient with rheumatoid arthritis who is prescribed methotrexate (MTX)? Select all that apply. One, some, or all responses may be correct.

avoid crowds avoid alcohol report any side effects

When a patient with rheumatoid arthritis is prescribed hydroxychloroquine, the nurse instructs the patient to report which clinical manifestation, which may indicate the most serious adverse effect associated with the medication?

blurred vision or headache

Which condition is the consequence of pannus formation in a patient with rheumatoid arthritis?

bony ankalosis

The nurse is assigned to care for a patient taking tocilizumab for the treatment of rheumatoid arthritis. Based on the assessment data noted, which action would the nurse take? Select all that apply. One, some, or all responses may be correct.

initiate bleeding precautions

Which instruction does the nurse include when teaching safety measures to a patient with rheumatoid arthritis who is receiving methotrexate therapy? Select all that apply. One, some, or all responses may be correct.

crowded alcoholic folic acid

How does the nurse describe a Baker cyst when explaining joint involvement of rheumatoid arthritis?

enlarged popliteal

Which finding would the nurse expect during the assessment of a patient with new onset rheumatoid arthritis (RA)? Select all that apply. One, some, or all responses may be correct.

fatigue

Which syndrome is associated with leukopenia in a patient with rheumatoid arthritis?

felty syndrome

Which antirheumatoid drug may increase the risk for opportunistic infections in patients?

golimumab

The nurse is planning care for a patient with rheumatoid arthritis (RA) and a history of chronic kidney disease (CKD) who reports increased pain from acute flare-ups. Which intervention would the nurse provide? Select all that apply. One, some, or all responses may be correct.

ice rest hot shower

Which information would the nurse provide during discharge teaching to a patient who underwent an arthrocentesis? Select all that apply. One, some, or all responses may be correct.

ice rest

The nurse reviews the results of an arthrocentesis and recalls that which finding in the synovial fluid corresponds with rheumatoid arthritis? Select all that apply. One, some, or all responses may be correct.

immune inflammatory rheumatoid

The nurse questions which postprocedural instruction for a patient with rheumatoid arthritis who had an arthrocentesis?

move the affected joint

The nurse is reviewing the health record of a patient with rheumatoid arthritis before entering the room to administer the 9:00 a.m. medications. Based on the information below, which action would the nurse take first?

institute infection prevention

After providing medication instructions for a patient with rheumatoid arthritis who is prescribed anakinra, the nurse identifies that which statement made by the patient indicates the need for further teaching?

measles

Which is a postprocedural nursing intervention for a patient who underwent an arthrocentesis for removal of excessive synovial fluid?

monitor the site for bleeding

Which is a late manifestation of rheumatoid arthritis?

morning stiffness

Which antirheumatic drug is associated with an allergic response after administration? Select all that apply. One, some, or all responses may be correct.

ritumixafab abatacept adalimuab

The nurse is providing education to a patient with a new prescription for hydroxychloroquine for the treatment of rheumatoid arthritis. Which action made by the patient indicates an understanding regarding adverse effects?

schedules a 6 month

The steps for performing an arthrocentesis occur in which order?

see picture

When a patient with rheumatoid arthritis receives a prescription for sulfasalazine therapy, the nurse identifies that which history finding is a contraindication for use of the medication?

sulfa allergy

Which synovial joint may be involved in the most severe cases of rheumatoid arthritis (RA)?

temporamandibular

The nurse suspects which joint involvement when a patient with rheumatoid arthritis reports pain when chewing and opening the mouth?

tempromandibular

A patient with a new diagnosis of rheumatoid arthritis asks the nurse what causes the disease. Which information would the nurse provide?

the bodys immune system

Which action will be taken when a patient who takes hydroxychloroquine for rheumatoid arthritis develops retinal damage?

the drug will be d/c

The nurse monitors for which consequence of vasculitis in patients with rheumatoid arthritis?

ulceration

Which instruction for joint protection does the nurse recommend for a patient with a connective tissue disease? Select all that apply. One, some, or all responses may be correct.

use long handled use adaptive devices

Which instruction does the nurse provide to a female patient with rheumatoid arthritis who is prescribed methotrexate (MTX)?

use strict birth control