Autoimmune and Arthritis Billings Questions

The nurse teaches a client about heat and cold treatments to manage arthritis pain. Which of the following client statements indicates that the client still has a knowledge deficit? 1. "I can use heat and cold as often as I want" 2. "With heat, I should apply it for no longer than 20 minutes at a time" 3. "Heat-producing liniments can be used other heat devices" 4. "Ten to fifteen minutes per application is the maximum time for cold applications"

3. "Heat-producing liniments can be used other heat devices"

After teaching the client with severe rheumatoid arthritis about prescribed methotrexate (Rheumatrex), which of the following statements indicates the need for further teaching? 1. "I will take my vitamins while I'm on this drug" 2. "I must not drink any alcohol while I'm on this drug" 3. "I should brush my teeth after every meal" 4. "I will continue taking my birth control pills"

1. "I will take my vitamins while I'm on this drug"

Of the clients listed below, who is at risk for developing rheumatoid arthritis (RA)? Select all that apply 1. Adults between the ages of 20-50 years 2. Adults who have had an infectious disease with the Epstein-Barr virus 3. Adults who are of the male gender 4. Adults who possess the genetic link, specifically HLA-DR4 5. Adults who also have osteoarthritis

1. Adults between the ages of 20-50 years 2. Adults who have had an infectious disease with the Epstein-Barr virus 4. Adults who possess the genetic link, specifically HLA-DR4

A client with rheumatoid arthritis states, "I can't do my household chores without becoming tired. My knees hurt whenever I walk." Which goal for this client should take priority? 1. Conserve energy 2. Adapt self-care skills 3. Develop coping skills 4. Adapt body image

1. Conserve energy

The client diagnosed with osteoarthritis states, "My friend takes steroid pills for her rheumatoid arthritis. Why don't I take steroids for my osteoarthritis?" Which of the following is the best explanation? 1. Intra-articular corticosteroid injections are used to treat osteoarthritis 2. Oral corticosteroids can be used in osteoarthritis 3. A systemic effect is needed in osteoarthritis 4. Rheumatoid arthritis and osteoarthritis are two similar diseases

1. Intra-articular corticosteroid injections are used to treat osteoarthritis

Which of the following should be included in the teaching plan for a client with osteoporosis? Select all that apply 1. Maintain a diet with adequate amounts of vitamin D, as found in fortified milk and cereals 2. Choose good calcium sources, such as figs, broccoli, and almonds 3. Use alcohol in moderation because a moderate intake has no known negative effects 4. Try swimming as good exercise to maintain bone mass 5. Avoid the use of high-fat foods, such as avocados, salad dressings, and fried foods

1. Maintain a diet with adequate amounts of vitamin D, as found in fortified milk and cereals 2. Choose good calcium sources, such as figs, broccoli, and almonds 3. Use alcohol in moderation because a moderate intake has no known negative effects

A 25-year-old client taking hydroxychloroquine (Plaquenil) for rheumatoid arthritis reports difficulty seeing out of the left eye. Correct interpretation of this assessment finding indicates which of the following? 1. Development of a catarct 2. Possible retinal degeneration 3. Part of the disease process 4. A coincidental occurence

2. Possible retinal degeneration

On a visit to the clinic, a client reports the onset of early symptoms of rheumatoid arthritis. The nurse should conduct a focused assessment for: 1. Limited motion of joints 2. Deformed joints of the hands 3. Early morning stiffness 4. Rheumatoid nodules

3. Early morning stiffness

At which of the following times should the nurse instruct the client to take ibuprofen (Motrin), prescribed for left hip pain secondary to osteoarthritis, to minimize gastric mucosal irritation? 1. At bedtime 2. On arising 3. Immediately after a meal 4. On an empty stomach

3. Immediately after a meal

After teaching the client with rheumatoid arthritis about measures to conserve energy in activities of daily living involving the small joints, which of the following, if stated by the client, would indicate the need for additional teaching? 1. Pushing with palms when rising from a chair 2. Holding packages close to the body 3. Sliding objects 4. Carrying a laundry basket with clinched fingers and fists

4. Carrying a laundry basket with clinched fingers and fists

Which of the following should the nurse assess when completing the history and physical examination of a client diagnosed with osteoarthritis? 1. Anemia 2. Osteoperosis 3. Weight loss 4. Local joint pain

4. Local joint pain

The teaching plan for the client with rheumatoid arthritis includes rest promotion. Which of the following would the nurse expect to instruct the client to avoid during rest periods? 1. Proper body alignment 2. Elevating the part 3. Prone lying positions 4. Positions of flexion

4. Positions of flexion