Week 7

A client asks the nurse what the difference is between osteoarthritis (OA) and rheumatoid arthritis (RA). Which response is correct? A. "OA is a noninflammatory joint disease. RA is characterized by inflamed, swollen joints." B. "OA and RA are very similar. OA affects the smaller joints and RA affects the larger, weight-bearing joints." C. "OA affects joints on both sides of the body. RA is usually unilateral." D. "OA is more common in women. RA is more common in men."

A. "OA is a noninflammatory joint disease. RA is characterized by inflamed, swollen joints."

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? A. Hyperuricemia B. Glucosuria C. Ketonuria D. Hyperproteinuria

A. Hyperuricemia

The presence of crystals in synovial fluid obtained from arthrocentesis is indicative of A. gout. B. infection. C. inflammation. D. degeneration.

A. gout.

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? A. "You should discuss that matter with your health care provider." B. "The diagnosis won't be based on the findings of a single test but by combining all data found." C. "SLE is a very serious systemic disorder." D. "Tell me more about your concerns about this potenti

B. "The diagnosis won't be based on the findings of a single test but by combining all data found."

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

B. Administering ordered analgesics and monitoring their effects

A nurse is managing the care of a client with osteoarthritis. What is the appropriate treatment strategy the nurse will teach the about for osteoarthritis? A. administration of opioids for pain control. B. administration of nonsteroidal anti-inflammatory drugs (NSAIDs) C. administration of monthly intra-articular injections of corticosteroids. D. vigorous physical therapy for the joints.

B. administration of nonsteroidal anti-inflammatory drugs (NSAIDs)

A client with systemic lupus erythematosus (SLE) is prescribed hydroxychloroquine. Which teaching will the nurse include for this client? A. Exercise B. High-protein diet C. Smoking cessation D. Vitamin D supplements

C. Smoking cessation

The nurse instructs a client with polymyositis rheumatica (PMR) about prescribed corticosteroids. Which statement regarding corticosteroid is correct? A. "I will cut the dose in half if I begin gaining weight." B. "I will take the medication until my symptoms disappear." C. "I will skip a dose of the medication if I experience gastric upset." D. "I will take the medication until my health care provider tells me to stop."

D. "I will take the medication until my health care provider tells me to stop."

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? A. "The fasting is okay, but make sure you drink fluids when exercising." B. "Make sure to eat some fat occasionally with all that exercise." C. "Try combining the fasting with moderate exercise." D. "There might be some difficulties with your plan and fasting

D. "There might be some difficulties with your plan and fasting."

Nursing care for the client with fibromyalgia should be guided by the assumption that patients with fibromyalgia A. all have the same type of symptoms. B. rarely respond to treatment. C. will eventually lose their ability to walk. D. may feel as if their symptoms are not taken seriously.

D. may feel as if their symptoms are not taken seriously.