Joint Disorders PrepU Q's
A client has a history of osteoarthritis. Which signs and symptoms should the nurse expect to find on physical assessment? A) Joint pain, crepitus, Heberden's nodes B) Swelling, joint pain, and tenderness on palpation C) Hot, inflamed joints; crepitus; joint pain D) Tophi, enlarged joints, Bouchard's nodes
A) Joint pain, crepitus, Heberden's nodes
A client asks the nurse what the difference is between osteoarthritis (OA) and rheumatoid arthritis (RA). Which response is correct? A) "OA is more common in women. RA is more common in men." B) "OA is a noninflammatory joint disease. RA is characterized by inflamed, swollen joints." C) "OA affects joints on both sides of the body. RA is usually unilateral." D) "OA and RA are very similar. OA affects the smaller joints and RA affects the larger, weight-bearing joints."
B) "OA is a noninflammatory joint disease. RA is characterized by inflamed, swollen joints."
The nurse is teaching a client about the characteristics of osteoarthritis. The nurse determines the client teaching was successful when the client states that which of the following may occur with osteoarthritis? A) Clients may have swan neck deformity. B) Clients may develop Heberden nodes. C) Clients will have an ulnar deviation. D) Clients will develop boutonniere deformity.
B) Clients may develop Heberden nodes.
Which of the following are usually the first choice in the treatment of rheumatoid arthritis (RA)? A) Nonsteroidal anti-inflammatory drugs (NSAIDs) B) Disease-modifying antirheumatic drugs (DMARDs) C) Tumor necrosis factor (TNF) blockers D) Glucocorticoids
B) Disease-modifying antirheumatic drugs (DMARDs)
The nurse is gathering objective data for a client at the clinic complaining of arthritic pain in the hands. The nurse observes that the fingers are hyperextended at the proximal interphalangeal joint with fixed flexion of the distal interphalangeal joint. What does the nurse recognize this deformity as? A) Ulnar deviation B) Swan neck deformity C) Boutonnière deformity D) Rheumatoid nodules
B) Swan neck deformity
The nurse is reviewing the diagnostic test findings of a client with rheumatoid arthritis. What would the nurse expect to find? A) Increased red blood cell count B) Increased C4 complement C) Elevated erythrocyte sedimentation rate D) Increased albumin levels
C) Elevated erythrocyte sedimentation rate
A client informs the nurse that he has been diagnosed with degenerative joint disease of the fingers but now has these bumps on his fingers that don't hurt. The nurse observes bony nodules on the distal interphalangeal joints. What type of "bumps" does the nurse understand these are? A) Tophi B) Bouchard's nodes C) Heberden's nodes D) Rheumatoid nodules
C) Heberden's nodes
A client with rheumatoid arthritis arrives at the clinic for a checkup. Which statement by the client refers to the most overt clinical manifestation of rheumatoid arthritis? A) "My legs feel weak." B) "I have trouble with my balance." C) "I have pain in my hands." D) "My finger joints are oddly shaped."
D) "My finger joints are oddly shaped."
The nurse is caring for a client with rheumatoid arthritis who suffers with chronic pain in the hands. When would be the best time for the nurse to perform range-of-motion exercises? A) After the client has a diagnostic test B) After cool compresses have been applied to the hands C) First thing in the morning when the client wakes D) After the client has had a warm paraffin hand bath
D) After the client has had a warm paraffin hand bath
A nurse is caring for a client with a warm and painful toe from gout. What medication will the nurse administer? A) calcium gluconate B) furosemide C) aspirin D) colchicine
D) colchicine
The nurse is teaching a client with osteoarthritis about the disease. What is the most important client focus for disease management? A) prevention of joint deformity B) disease-modifying antirheumatic drug therapy C) detection of systemic complications D) strategies for remaining active
D) strategies for remaining active