Ortho prep U questions
What intervention will best help a client with ankylosing spondylitis (AS)? Have the client do range-of-motion exercises. Immobilize the client in traction. Teach the client to use a walker or cane. Teach the client about surgery.
Teach the client to use a walker or cane.
The nurse is teaching a newly diagnosed client about systemic lupus erythematosus(SLE). What statement by the client indicates the teaching was successful? "The belief is that it is an autoimmune disorder with an unknown trigger." "SLE has very specific manifestations that make diagnosis relatively easy." "This disorder is more common in men in their thirties and forties than in women." "The symptoms are primarily localized to the skin but may involve the joints."
"The symptoms are primarily localized to the skin but may involve the joints."
A client with osteoarthritis asks for information concerning activity and exercise. When assisting the client, which concept should be included? The time of day when exercise is performed isn't important. Exercising in the evening before going to bed is beneficial. Delaying exercise for at least 1 hour after awakening allows the client to participate in exercise after some of the morning-related stiffness has subsided. Exercising immediately upon awakening allows the client to participate in activities when he has the greatest amount of energy.
Delaying exercise for at least 1 hour after awakening allows the client to participate in exercise after some of the morning-related stiffness has subsided.
Which is an appropriate nursing intervention in the care of the client with osteoarthritis? Provide an analgesic after exercise Encourage weight loss and an increase in aerobic activity Assess for gastrointestinal complications associated with COX-2 inhibitors Avoid the use of topical analgesics
Encourage weight loss and an increase in aerobic activity
A client arrives at the clinic with reports of pain in the left great toe. The nurse assesses a swollen, warm, erythematous left great toe. What disorder will the nurse relate the client symptoms to? Gout Rheumatoid arthritis Osteoarthritis Fibromyalgia
Gout
Which joint is most commonly affected in gout? Metatarsophalangeal Tarsal area Ankle Knee
Metatarsophalangeal
The nurse knows that a patient who presents with the symptom of "blanching of fingers on exposure to cold" would be assessed for what rheumatic disease? Ankylosing spondylitis Raynaud's phenomenon Reiter's syndrome Sjögren's syndrome
Raynaud's phenomenon
Which client is most likely to develop systemic lupus erythematosus (SLE)? A 35-year-old Hispanic male A 25-year-old white male A 25-year-old Jewish female A 27-year-old black female
A 27-year-old black female
A client is experiencing an acute exacerbation of rheumatoid arthritis. What should the nursing priority be? Administering ordered analgesics and monitoring their effects Providing comprehensive client teaching; including symptoms of the disorder, treatment options, and expected outcomes Performing meticulous skin care Supplying adaptive devices, such as a zipper-pull, easy-to-open beverage cartons, lightweight cups, and unpackaged silverware
Administering ordered analgesics and monitoring their effects
A client diagnosed with arthritis doesn't want to take medications. Physical therapy and occupational therapy have been consulted for nonpharmacologic measures to control pain. What might physical and occupational therapy include in the care plan to help control this client's pain? Heat therapy and nonsteroidal anti-inflammatory medications (NSAIDs) Cold therapy Acupuncture An exercise routine that includes range-of-motion (ROM) exercises
An exercise routine that includes range-of-motion (ROM) exercises
Which of the following procedures involves a surgical fusion of the joint? Tenorrhaphy Synovectomy Arthrodesis Osteotomy
Arthrodesis
What is the priority intervention for a client who has been admitted repeatedly with attacks of gout? Assess diet and activity at home Place client on bed rest Increase fluids Insert a Foley catheter
Assess diet and activity at home
The result of which diagnostic study is decreased in the client diagnosed with rheumatoid arthritis? Creatinine ESR Red blood cell count Uric acid
Red blood cell count
A client is diagnosed with systemic lupus erythematosus (SLE). What is the most appropriate action for the nurse to take in order to evaluate the client's stage of disease? Observe the client's gait. Inspect the client's mouth. Review the client's medical record. Auscultate the client's lung sounds.
Review the client's medical record.
The nurse is gathering a health history for a client with osteoarthritis. What clinical manifestation will the nurse expect to find? joint pain that diminishes with rest subcutaneous nodules small joint involvement early morning stiffness
early morning stiffness
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? Ibuprofen Piroxicam Tolmetin sodium Celecoxib
Celecoxib
Which term indicates an accumulation of crystalline depositions in articular surfaces, bones, soft tissue, and cartilage? Pannus Tophi Subchondral bone Joint effusion
Tophi
Which condition is the leading cause of disability and pain in the elderly? Osteoarthritis (OA) Rheumatoid arthritis (RA) Systemic lupus erythematous (SLE) Scleroderma
Osteoarthritis (OA)
Which is the leading cause of disability and pain in the elderly? Osteoarthritis (OA) Rheumatoid arthritis (RA) Systemic lupus erythematosus (SLE) Scleroderma
Osteoarthritis (OA)
A client is being treated for hyperuricemia. Part of the treatment strategy is for the client to avoid contributing factors whenever possible. Which activities might bring on an acute attack? eating organ meats and sardines frequently drinking coffee frequently ingesting salicylates high carbohydrate intake
eating organ meats and sardines
Which points should be included in the medication teaching plan for a client taking adalimumab? The medication is administered intramuscularly. The client should continue taking the medication if fever occurs. The medication is given at room temperature. It is important to monitor for injection site reactions.
It is important to monitor for injection site reactions.
A client was seen in the clinic for musculoskeletal pain, fatigue, mood disorders, and sleep disturbances. The physician has diagnosed fibromyalgia. What would not be a part of teaching plan for this condition? applications of ice regular exercise and stress reduction avoiding caffeine and alcohol encouraging the client to eat a healthy diet
applications of ice
The nurse teach the client that osteoarthritis is the most common and frequently disabling of joint disorders. affects young males. requires early treatment because most of the damage appears to occur early in the course of the disease. affects the cartilaginous joints of the spine and surrounding tissues.
the most common and frequently disabling of joint disorders.
The nurse is teaching the client newly diagnosed with systemic lupus erythematous about the condition. Which statement by the client indicates teaching was effective? "My energy level will gradually increase over time." "I do not need to make any changes in my diet." "My medications will ultimately correct my problem." "I should avoid prolonged sun exposure."
"I should avoid prolonged sun exposure."
A nurse is teaching a client about rheumatoid arthritis. Which statement by the client indicates understanding of the disease process? "When it clears up, it will never come back." "I'll definitely need surgery for this." "It will get better and worse again." "It will never get any better than it is right now."
"It will get better and worse again."
A client with osteoarthritis expresses concerns that the disease will prevent the ability to complete daily chores. Which suggestion should the nurse offer? "Do all your chores after performing morning exercises to loosen up." "Pace yourself and rest frequently, especially after activities." "Do all your chores in the evening, when pain and stiffness are least pronounced." "Do all your chores in the morning, when pain and stiffness are least pronounced."
"Pace yourself and rest frequently, especially after activities."
A client with gout has been advised to lose weight. The client informs the nurse of plans to go on a "guaranteed rapid weight loss" plan that involves fasting and heavy exercise. Which response would be most appropriate? "The fasting is okay, but make sure you drink fluids when exercising." "There might be some difficulties with your plan and fasting." "Try combining the fasting with moderate exercise." "Make sure to eat some fat occasionally with all that exercise."
"There might be some difficulties with your plan and fasting."
Azathioprine (Imuran) has been prescribed for the client with severe rheumatoid arthritis. The dose prescribed is 2 mg/kg/day orally in two divided doses. The medication available is a 50-mg scored tablet. The client weighs 110 pounds. How many milligrams will the nurse prepare per dose for the client?
110lbs /2.2 = 50kgs 50kg X 2mg = 100mg/day 50mg per dose
The nurse is caring for a client who has been diagnosed with a "rheumatic disease." What nursing diagnoses will most likely apply to this client's care? Select all that apply. Alteration of self-concept Pain Fatigue Fluid volume deficit Fluid and electrolyte imbalance
Alteration of self-concept Pain Fatigue
A client with systemic lupus erythematosus (SLE) has the classic rash of lesions on the cheeks and bridge of the nose. What term should the nurse use to describe this characteristic pattern? Bull's eye rash Papular rash Pustular rash Butterfly rash
Butterfly rash
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? Ibuprofen Celecoxib Piroxicam Tolmetin sodium
Celecoxib
Which finding is consistent with the diagnosis of rheumatoid arthritis? Decreased ESR Increased red blood cell count Increased C4 complement component Cloudy synovial fluid
Cloudy synovial fluid
The client with osteoarthritis is seen in the clinic. Which assessment finding indicates the client is having difficulty implementing self-care? Reports ability to perform ADLs Reports decreased joint pain Shows increased joint flexibility Has a weight gain of 5 pounds
Has a weight gain of 5 pounds
When assessing a patient for RA what is a distingusihing finding on the patient history? History of non painful or swollen joints. History of manual labor. History of recent viral exposure/infection. History of frequent falls.
History of recent viral exposure/infection.
A client is being discharged from the hospital after being diagnosed with and treated for systemic lupus erythematosus (SLE). What would the nurse not include when teaching the client and family information about managing the disease? If you have problems with a medication, you may stop it until your next physician visit. Avoid sunlight and ultraviolet radiation. Pace activities. Maintain a well-balanced diet and increase fluid intake to raise energy levels and promote tissue healing.
If you have problems with a medication, you may stop it until your next physician visit.
A nurse is developing a teaching plan for a client diagnosed with osteoarthritis. What instruction should the nurse give to the client to minimize injury? Get help when lifting objects. Install safety devices in the home. Wear worn, comfortable shoes. Wear protective devices when exercising.
Install safety devices in the home.
The nurse is performing discharge teaching for a client with rheumatoid arthritis. What teachings are priorities for the client? Select all that apply. Medication dosages and side effects Dressing changes Narcotic safety Assistive devices Safe exercise
Medication dosages and side effects Assistive devices Safe exercise
Which joint is most commonly affected in gout? Metatarsophalangeal Tarsal area Knee Ankle
Metatarsophalangeal
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? Methotrexate (Rheumatrex) Infliximab (Remicade) Methylprednisolone (Medrol) Etanercept (Enbrel)
Methotrexate (Rheumatrex)
A patient is suspected of having myositis. The nurse prepares the patient for what procedure that will confirm the diagnosis? Computed tomography (CT) Bone scan Magnetic resonance imaging (MRI) Muscle biopsy
Muscle biopsy
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? Swan neck deformity Boutonnière deformity Rheumatoid nodules Ulnar deviation
Swan neck deformity
Which of the following disorders is characterized by an increased autoantibody production? Rheumatoid arthritis (RA) Systemic lupus erythematosus (SLE) Polymyalgia rheumatic Scleroderma
Systemic lupus erythematosus (SLE)
Which of the following disorders is characterized by an increased autoantibody production? Systemic lupus erythematosus (SLE) Scleroderma Rheumatoid arthritis (RA) Polymyalgia rheumatic
Systemic lupus erythematosus (SLE)
The client with an inflamed knee scheduled to have an arthrocentesis asks the nurse what the synovial fluid will look like. What is the best response by the nurse? The fluid will be straw colored. The fluid will be clear and pale. The amount of fluid will be scant in volume. The fluid will be milky, cloudy, and dark yellow.
The fluid will be milky, cloudy, and dark yellow.
Upon exam of a patient that reports pain, what indicates that the patient may have RA? The patient reports non tender "bumps" over the joints of fingers and elbows and reports dry eyes. Reports a dry mouth and late day stiffness. Reports no limitations in ROM or early morning pain. Denies swelling or pain in joints but reports limited ROM.
The patient reports non tender "bumps" over the joints of fingers and elbows and reports dry eyes.
The nurse is providing medication teaching to a client with rheumatoid disease. What common actions are seen with diclofenac and aspirin? Select all that apply. antiplatelet antispasmotic antipyretic anti-inflammatory analgesic
antipyretic anti-inflammatory analgesic
A client is being treated for hyperuricemia. Part of the treatment strategy is for the client to avoid contributing factors whenever possible. Which activities might bring on an acute attack? eating organ meats and sardines frequently drinking coffee high carbohydrate intake frequently ingesting salicylates
eating organ meats and sardines
The nurse is discussing life management with the client with rheumatoid arthritis in a health clinic. What assessment finding indicates the client is having difficulty implementing self-care? a weight gain of 2 pounds ability to perform activities of daily living (ADL) decreased joint pain increased fatigue
increased fatigue
The nurse is completing a health history with a client in a clinic. What assessment finding best correlates with a diagnosis of osteoarthritis? anorexia and weight loss fever and malaise erythema and edema over the affected joint joint stiffness that decreases with activity
joint stiffness that decreases with activity
Nursing care for the client with fibromyalgia should be guided by the assumption that patients with fibromyalgia rarely respond to treatment. all have the same type of symptoms. will eventually lose their ability to walk. may feel as if their symptoms are not taken seriously.
may feel as if their symptoms are not taken seriously.
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? pain joint swelling stiffness weakness
pain
The client asks the nurse about types of exercise that do not stress the joints. What exercise will the nurse include in the teaching plan? jogging running on a treadmill weight lifting t'ai chi
t'ai chi
A client has a history of osteoarthritis. Which signs and symptoms should the nurse expect to find on physical assessment? Joint pain, crepitus, Heberden's nodes Hot, inflamed joints; crepitus; joint pain Tophi, enlarged joints, Bouchard's nodes Swelling, joint pain, and tenderness on palpation
Joint pain, crepitus, Heberden's nodes
A client asks the nurse how to identify rheumatoid nodules with rheumatoid arthritis. What characteristic will the nurse include? tender to the touch located over bony prominence reddened nonmovable
located over bony prominence
The nurse is assessing a client with a history of ankylosing spondylitis. What will the nurse most commonly assess? low back pain increased urine output red, butterfly-shaped facial rash patchy hair loss on the scalp
low back pain
Scleroderma typically begins with the involvement of which system? Respiratory Integumentary Urinary Cardiovascular
Integumentary
Rheumatoid arthritis usually: Does not affect the joint capsule. affects a unilateral joint. has stiffness that increases during the day. Involves smaller joints first (PIP & MCP).
Involves smaller joints first (PIP & MCP).
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? "I have pain in my hands." "My finger joints are oddly shaped." "My legs feel weak." "I have trouble with my balance."
"My finger joints are oddly shaped."
A client suspected of having systemic lupus erythematosus (SLE) is being scheduled for testing. The client asks which of the tests ordered will determine positivity for the disorder. Which statement by the nurse is most accurate? "The diagnosis won't be based on the findings of a single test but by combining all data found." "Tell me more about your concerns about this potential diagnosis." "You should discuss that matter with your health care provider." "SLE is a very serious systemic disorder."
"The diagnosis won't be based on the findings of a single test but by combining all data found."
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? After the client has a diagnostic test After the client has had a warm paraffin hand bath First thing in the morning when the client wakes After cool compresses have been applied to the hands
After the client has had a warm paraffin hand bath
The nurse intervenes to assist the client with fibromyalgia to cope with which symptoms? Chronic fatigue, generalized muscle aching, and stiffness Pain, viral infection, and tremors Diminished vision, chronic fatigue, and reduced appetite Generalized muscle aching, mood swings, and loss of balance
Chronic fatigue, generalized muscle aching, and stiffness
The nurse is reviewing the diagnostic test findings of a client with rheumatoid arthritis. What would the nurse expect to find? Increased red blood cell count Increased albumin levels Increased C4 complement Elevated erythrocyte sedimentation rate
Elevated erythrocyte sedimentation rate
A nurse assesses a client in the health care provider's office. Which assessment findings support a suspicion of systemic lupus erythematosus (SLE)? Facial erythema, pericarditis, pleuritis, fever, and weight loss Photosensitivity, polyarthralgia, and painful mucous membrane ulcers Weight gain, hypervigilance, hypothermia, and edema of the legs Hypothermia, weight gain, lethargy, and edema of the arms
Facial erythema, pericarditis, pleuritis, fever, and weight loss
A client has a serum study that is positive for the rheumatoid factor. What will the nurse tell the client about the significance of this test result? It is specific for rheumatoid arthritis. It is diagnostic for Sjögren's syndrome. It is suggestive of rheumatoid arthritis. It is diagnostic for systemic lupus erythematosus.
It is suggestive of rheumatoid arthritis.
Which of the following maybe the first and only physical sign of symptomatic osteoarthritis (OA)? Joint instability Limb shortening Joint enlargement Limited passive movement
Limited passive movement
A client with ankylosing spondylitis has a stooped position and is being positioned in the bed prior to the nurse taking vital signs. The nurse listens to the client's lungs after positioning. What finding does the nurse hear when listening to lung sounds? Lung sounds are diminished in the apical area. Crackles in the bases Rhonchi Pericardial friction rub
Lung sounds are diminished in the apical area.
A client with degenerative joint disease asks the nurse for suggestions to avoid unusual stress on the joints. Which suggestion would be most appropriate? Perform aerobic exercises. Maintain good posture. Keep shifting weight from one foot to the other. Maintain complete bed rest.
Maintain good posture.
A client is receiving treatment for an acute episode of gout with colchicine. The nurse is administering the medication every 2 hours. What should the nurse be sure the client communicates so that the drug can be temporarily stopped? Select all that apply. Nausea and vomiting Tingling in the arms Diarrhea Increase in pain in the affected extremity Intestinal cramping
Nausea and vomiting Diarrhea Intestinal cramping
A client has had several diagnostic tests to determine if he has systemic lupus erythematosus (SLE). What result is very specific indicator of this diagnosis? Elevated ESR Positive Anti-dsDNA antibody test Positive ANA titre Positive Anti-Sm antibodies
Positive Anti-dsDNA antibody test
A client with rheumatoid arthritis has infiltration of the lacrimal and salivary glands with lymphocytes as a result of the disease. What does the nurse understand that this clinical manifestation is? Sicca syndrome Episcleritis Glaucoma Cataracts
Sicca syndrome
A patient comes to the clinic with an inflamed wrist. How should the nurse splint the joint to immobilize it? Extension Slight dorsiflexion Hyperextension Internal rotation
Slight dorsiflexion
What are risk factors for Rheumatoid Arthritis? Smoking, Alcohol Consumption and High Fat Diet. Age, Gender and Lifestyle. Smoking, Gender and Viral Exposure. Cholesterol Consumption, Activity and Genetics.
Smoking, Gender and Viral Exposure.
Which intervention should the nurse implement to manage pain for the client with rheumatoid arthritis? Select all that apply. Assist the client to develop a sleep routine. Support joints with splints and pillows. Provide assistive devices for self-feeding. Provide diversional activities. Provide opportunities for the client to verbalize feelings.
Support joints with splints and pillows. Provide diversional activities. Provide opportunities for the client to verbalize feelings.
A client is taking ibuprofen for the treatment of osteoarthritis. What education will the nurse give the client about the medication? Take the medication with food to avoid stomach upset. Inform the health care provider if there is ringing in the ears. Take the medication on an empty stomach in order to increase effectiveness. Since the medication is able to be obtained over the counter, it has few side effects.
Take the medication with food to avoid stomach upset.
Upon exam of a patient that reports pain, what indicates that the patient may have RA? Denies swelling or pain in joints but reports limited ROM. The patient reports non tender "bumps" over the joints of fingers and elbows and reports dry eyes. Reports no limitations in ROM or early morning pain. Reports a dry mouth and late day stiffness.
The patient reports non tender "bumps" over the joints of fingers and elbows and reports dry eyes.
A nurse is assessing a client with possible osteoarthritis. What is the most significant risk factor for primary osteoarthritis? age trauma obesity congenital deformity
age
Which drug is not used in the treatment of rheumatoid arthritis? methotrexate allopurinol adalimumab etanercept
allopurinol
A client with rheumatoid arthritis tells the nurse about experiencing mild tinnitus, gastric intolerance, and rectal bleeding. What medication does the nurse suspect is causing these side effects? aspirin methotrexate hydroxychloroquine celecoxib
aspirin
A clent with a history of peptic ulcer disease is diagnosed with rheumatoid arthritis. What medication will the nurse anticipate will be prescribed to produce an anti-inflammatory effect and protect the stomach lining? sulfasalazine methotrexate ibuprofen celecoxib
celecoxib
A nurse is caring for a client with a warm and painful toe from gout. What medication will the nurse administer? aspirin furosemide colchicine calcium gluconate
colchicine
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? allopurinol probenecid anturane colchicine
colchicine
The nurse is reviewing the medication administration record of the client. Which medication would lead the nurse to suspect that the client is suffering from an acute attack of gout? penicillamine methotrexate colchicine prednisone
colchicine
A client is prescribed a disease-modifying antirheumatic drug that is successful in the treatment of rheumatoid arthritis but has side effects, including retinal eye changes. What medication will the nurse anticipate educating the client about? hydroxychloroquine diclofenac azathioprine cyclophosphamide
hydroxychloroquine
A diet plan is developed for a client with gouty arthritis. What should the nurse advise the client to limit the intake of? green vegetables organ meats fresh fish citrus fruits
organ meats
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? Rheumatoid nodules Tophi Bouchard's nodes Heberden's nodes
Heberden's nodes
A client is being discharged from the hospital after being diagnosed with and treated for systemic lupus erythematosus (SLE). What would the nurse not include when teaching the client and family information about managing the disease? If you have problems with a medication, you may stop it until your next physician visit. Maintain a well-balanced diet and increase fluid intake to raise energy levels and promote tissue healing. Pace activities. Avoid sunlight and ultraviolet radiation.
If you have problems with a medication, you may stop it until your next physician visit.
Which of the following maybe the first and only physical sign of symptomatic osteoarthritis (OA)? Limited passive movement Joint instability Joint enlargement Limb shortening
Limited passive movement
A nurse is preparing a client with systemic lupus erythematosus (SLE) for discharge. Which instruction should the nurse include in the teaching plan? "There are no activity limitations between flare-ups." "Monitor your body temperature." "Corticosteroids may be stopped when symptoms are relieved." "Exposure to sunlight will help control skin rashes."
"Monitor your body temperature."
A nurse is managing the care of a client who has gout. Which medication would be prescribed as the drug of choice to prevent tophi formation and promote tophi regression? Febuxostat Probenecid Sulfinpyrazone Allopurinol
Allopurinol
Which of the following refers to fixation of a joint? Ankylosis Synovitis Pannus Articulations
Ankylosis
A client who has had gout for a number of years visits the health care provider for a quarterly evaluation. The client reports less-frequent episodes of pain and inflammation. The nurse documents that the client was in which phase/stage of the process? Asymptomatic Acute gouty arthritis Intercritical Chronic tophaceous
Chronic tophaceous
The nurse is teaching a client about the characteristics of osteoarthritis. How will the nurse determine the client teaching was successful? Clients will develop boutonniere deformity. Clients may develop Heberden nodes. Clients may have swan neck deformity. Clients will have an ulnar deviation.
Clients may develop Heberden nodes.
A client with rheumatoid arthritis is prescribed a tumor necrosis factor (TNF)-alpha inhibitor. What medication might be prescribed? Diclofenac Indomethacin Etanercept Celecoxib
Etanercept
A nurse assesses a client in the health care provider's office. Which assessment findings support a suspicion of systemic lupus erythematosus (SLE)? Photosensitivity, polyarthralgia, and painful mucous membrane ulcers Hypothermia, weight gain, lethargy, and edema of the arms Weight gain, hypervigilance, hypothermia, and edema of the legs Facial erythema, pericarditis, pleuritis, fever, and weight loss
Facial erythema, pericarditis, pleuritis, fever, and weight loss
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 small percentage of osteoarthritis sufferers do eventually develop hand and arm deformities. The client should discuss this concern with the health care provider. Hand and finger deformities are associated with the development of rheumatoid arthritis. It's impossible to determine at the time of diagnosis how the disease will progress.
Hand and finger deformities are associated with the development of rheumatoid arthritis.
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? Tophi Rheumatoid nodules Heberden's nodes Bouchard's nodes
Heberden's nodes
Which assessment suggests to the nurse that a client with systemic lupus erythematous is having renal involvement? Chest pain Decreased cognitive ability Behavioral changes Hypertension
Hypertension
A patient is hospitalized with a severe case of gout. The patient has gross swelling of the large toe and rates pain a 10 out of 10. With a diagnosis of gout, what should the laboratory results reveal? Glucosuria Hyperuricemia Hyperproteinuria Ketonuria
Hyperuricemia
The nurse is constructing a teaching plan for the client newly diagnosed with scleroderma. What should the nurse include in the teaching plan? Protect the hands and feet from cold. Take all antibiotics until they are gone. Perform weight-bearing exercises daily. Avoid sunlight and ultraviolet light.
Protect the hands and feet from cold.
Which connective tissue disorder is characterized by insoluble collagen being formed and accumulating excessively in the tissues? Scleroderma Systemic lupus erythematosus Rheumatoid arthritis Polymyalgia rheumatic
Scleroderma
Which of the following refers to fixation of a joint? Ankylosis Synovitis Pannus Articulations
Ankylosis
Which term refers to fixation or immobility of a joint? Ankylosis Hemarthrosis Arthroplasty Diarthrodial
Ankylosis
A client is diagnosed with systemic lupus erythematosus (SLE). Which of the following would be most appropriate for the nurse to use to evaluate the client' s stage of disease? Inspect the client's mouth. Review the client's medical record. Observe the client's gait. Auscultate the client's lung sounds.
Inspect the client's mouth.
A client with degenerative joint disease asks the nurse for suggestions to avoid unusual stress on the joints. Which suggestion would be most appropriate? Keep shifting weight from one foot to the other. Perform aerobic exercises. Maintain complete bed rest. Maintain good posture.
Maintain good posture.`
The nurse is teaching a client with osteoarthritis about the disease. What is the most important client focus for disease management? strategies for remaining active prevention of joint deformity detection of systemic complications disease-modifying antirheumatic drug therapy
strategies for remaining active
