CH 38- Assessment and Management of Patients With Rheumatic Disorders: PrepU (CC3 Immunity 3)

A client with rheumatoid arthritis reports joint pain. What intervention is a priority to assist the client? a. Nonsteroidal anti-inflammatory drugs b. Ice packs c. Opioid therapy d. Surgery

a. Nonsteroidal anti-inflammatory drugs

A nurse assesses a client in the health care provider's office. Which assessment findings support a suspicion of systemic lupus erythematosus (SLE)? a. Photosensitivity, polyarthralgia, and painful mucous membrane ulcers b. Hypothermia, weight gain, lethargy, and edema of the arms c. Weight gain, hypervigilance, hypothermia, and edema of the legs d. Facial erythema, pericarditis, pleuritis, fever, and weight loss

d. Facial erythema, pericarditis, pleuritis, fever, and weight loss

Osteoarthritis is known as a disease that a. affects the cartilaginous joints of the spine and surrounding tissues. b. affects young males. c. requires early treatment because most of the damage seems to occur early in the course of the disease. d. is the most common and frequently disabling of joint disorders.

d. Is the most common and frequently disabling of joint disorders

A diet plan is developed for a client with gouty arthritis. What should the nurse advise the client to limit the intake of? a. green vegetables b. citrus fruits c. fresh fish d. organ meats

d. Organ meats

Which term indicates an accumulation of crystalline depositions in articular surfaces, bones, soft tissue, and cartilage? a. Pannus b. Subchondral bone c. Joint effusion d. Tophi

d. Tophi

Fibromyalgia is a common condition that involves a. chronic fatigue, generalized muscle aching, and stiffness. b. pain, viral infection, and tremors. c. diminished vision, chronic fatigue, and reduced appetite. d. generalized muscle aching, mood swings, and loss of balance.

a. Chronic fatigue, generalized muscle aching, and stiffness

Nursing assessment findings reveal joint swelling and tenderness and a butterfly rash on the face. The nurse suspects which of the following? a. Systemic lupus erythematous b. Fibromyalgia c. Ankylosing spondylitis d. Scleroderma

a. Systemic lupus erythematous

A client is experiencing an acute exacerbation of rheumatoid arthritis. What should the nursing priority be? a. Supplying adaptive devices, such as a zipper-pull, easy-to-open beverage cartons, lightweight cups, and unpackaged silverware b. Performing meticulous skin care c. Administering ordered analgesics and monitoring their effects d. Providing comprehensive client teaching; including symptoms of the disorder, treatment options, and expected outcomes

c. Administering ordered analgesics and monitoring their effects

The nurse is educating a client about the risks of stroke related to the new prescription for a COX-2 inhibitor and what symptoms to report. Which COX-2 inhibitor is the nurse educating the client about? a. Tolmetin sodium b. Ibuprofen c. Celecoxib d. Piroxicam

c. Celecoxib

Which is an appropriate nursing intervention in the care of the client with osteoarthritis? a. Avoid the use of topical analgesics b. Assess for gastrointestinal complications associated with COX-2 inhibitors c. Encourage weight loss and an increase in aerobic activity d. Provide an analgesic after exercise

c. Encourage weight loss and an increase in aerobic activity

A client who has been diagnosed with osteoarthritis asks if he or she will eventually begin to notice deformities in the hands and fingers as the condition progresses. Which concept should the nurse include in the response? a. A small percentage of osteoarthritis sufferers do eventually develop hand and arm deformities. b. The client should discuss this concern with the health care provider. c. Hand and finger deformities are associated with the development of rheumatoid arthritis. d. It's impossible to determine at the time of diagnosis how the disease will progress.

c. Hand and finger deformities are associated with the development of rheumatoid arthritis.

The nurse is performing a health history with a new client in the clinic. What is the most common reason for a client to seek medical attention for arthritis? a. stiffness b. weakness c. pain d. joint swelling

c. Pain

The nurse is assessing a client who has had rheumatoid arthritis for several years. What clinical manifestation will the nurse expect to find in a client? a. asymmetric joint involvement b. obesity c. small joint involvement d. Bouchard's nodes

c. Small joint movement

The nurse is caring for a client with a new onset of gout. What medication does the nurse anticipate will be ordered by the health care provider? a. allopurinol b. anturane c. probenecid d. colchicine

d. Colchicine

The nurse is reviewing the diagnostic test findings of a client with rheumatoid arthritis. What would the nurse expect to find? a. Increased C4 complement b. Increased red blood cell count c. Increased albumin levels d. Elevated erythrocyte sedimentation rate

d. Elevated erythrocyte sedimentation rate

The nurse is discussing the new medication that a client will be taking for treatment of rheumatoid arthritis. Which disease-modifying antirheumatic drug (DMARD) will the nurse educate the client about? a. Methotrexate (Rheumatrex) b. Infliximab (Remicade) c. Etanercept (Enbrel) d. Methylprednisolone (Medrol)

a. Methotrexate (Rheumatrex)

A client is taking ibuprofen for the treatment of osteoarthritis. What education will the nurse give the client about the medication? a. Since the medication is able to be obtained over the counter, it has few side effects. b. Take the medication with food to avoid stomach upset. c. Take the medication on an empty stomach in order to increase effectiveness. d. Inform the health care provider if there is ringing in the ears.

b. Take the medication with food to avoid stomach upset

The nurse is teaching the client newly diagnosed with systemic lupus erythematous about the condition. Which statement by the client indicates teaching was effective? a. "My energy level will gradually increase over time." b. "I do not need to make any changes in my diet." c. "I should avoid prolonged sun exposure." d. "My medications will ultimately correct my problem."

c. "I should avoid prolonged sun exposure."

A client with osteoarthritis expresses concerns that the disease will prevent the ability to complete daily chores. Which suggestion should the nurse offer? a. "Do all your chores after performing morning exercises to loosen up." b. "Do all your chores in the morning, when pain and stiffness are least pronounced." c. "Pace yourself and rest frequently, especially after activities." d. "Do all your chores in the evening, when pain and stiffness are least pronounced."

c. "Pace yourself and rest frequently, especially after activities."

Which joint is most commonly affected in gout? a. Tarsal area b. Knee c. Metatarsophalangeal d. Ankle

c. Metatarsophalangeal