NCA - Exam #3 - Chap 39 - PrepUs
c) "My finger joints are oddly shaped."
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) "I have pain in my hands." b) "My legs feel weak." c) "My finger joints are oddly shaped." d) "I have trouble with my balance."
a) "Monitor your body temperature."
A nurse is preparing a client with systemic lupus erythematosus (SLE) for discharge. Which instruction should the nurse include in the teaching plan? a) "Monitor your body temperature." b) "Corticosteroids may be stopped when symptoms are relieved." c) "There are no activity limitations between flare-ups." d) "Exposure to sunlight will help control skin rashes."
b) Inhibits T- and B-cell activity
A patient is receiving gold sodium thiomalate (Myochrysine) for the treatment of RA. What does the nurse understand about the action of this compound? a) Inhibits DNA synthesis b) Inhibits T- and B-cell activity c) Inhibits platelet aggregation d) Inhibits lysosomal enzymes
a) Facial erythema, pericarditis, pleuritis, fever, and weight loss
A nurse assesses a client in the physician's office. Which assessment findings support a suspicion of systemic lupus erythematosus (SLE)? a) Facial erythema, pericarditis, pleuritis, fever, and weight loss b) Weight gain, hypervigilance, hypothermia, and edema of the legs c) Hypothermia, weight gain, lethargy, and edema of the arms d) Photosensitivity, polyarthralgia, and painful mucous membrane ulcers
a) Assess dietary diet and activity at home
What is the priority intervention for a patient who has been admitted repeatedly with attacks of gout? a) Assess dietary diet and activity at home b) Place patient on bed rest c) Increase fluids d) Insert a foley catheter
c) Systemic lupus erythematosus (SLE)
Which of the following disorders is characterized by an increased autoantibody production? a) Rheumatoid arthritis (RA) b) Scleroderma c) Systemic lupus erythematosus (SLE) d) Polymyalgia rheumatic
b) Hypertension
Which of the following suggests to the nurse that the client with systemic lupus erythematous is having renal involvement? a) Behavioral changes b) Hypertension c) Decreased cognitive ability d) Chest pain
b) Ankylosis
Which of the following terms refers to fixation or immobility of a joint? a) Hemarthrosis b) Ankylosis c) Arthroplasty d) Diarthrodial
a) Cloudy synovial fluid
Which of the following would be consistent with the diagnosis of rheumatoid arthritis? a) Cloudy synovial fluid b) Increased C4 complement component c) Decreased ESR d) Increased red blood cell count
c) Zyloprim
A nurse practitioner is managing the care of a patient who has gout. Choose the medication that she would prescribe as the drug of choice to prevent tophi formation and promote tophi regression. a) Benemid b) Uloric c) Zyloprim d) Anturane
a) Take the medication with food to avoid stomach upset.
A patient is taking NSAIDs for the treatment of osteoarthritis. What education should the nurse give the patient about the medication? a) Take the medication with food to avoid stomach upset. b) Take the medication on an empty stomach in order to increase effectiveness. c) Inform the physician if there is ringing in the ears. d) Since the medication is able to be obtained over the counter, it has few side effects.
a) Dyspnea owing to fibrotic cardiac tissue c) Dysphagia owing to hardening of the esophagus d) Decreased ventilation owing to lung scarring
The nurse is assessing a patient with a diagnosis of scleroderma. What clinical manifestations of scleroderma does the nurse assess? (Select all that apply.) a) Dyspnea owing to fibrotic cardiac tissue b) Butterfly-shaped rash on the face c) Dysphagia owing to hardening of the esophagus d) Decreased ventilation owing to lung scarring e) Productive cough
b) Swan neck deformity
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) Boutonnière deformity b) Swan neck deformity c) Rheumatoid nodules d) Ulnar deviation
b) Swan neck deformity
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) Rheumatoid nodules b) Swan neck deformity c) Boutonnière deformity d) Ulnar deviation
d) Cloudy synovial fluid
Which of the following would be consistent with the diagnosis of rheumatoid arthritis? a) Decreased ESR b) Increased C4 complement component c) Increased red blood cell count d) Cloudy synovial fluid
a) Eating organ meats and sardines
A 68-year-old client is being treated for hyperuricemia. Part of the treatment strategy is for the client to avoid contributing factors whenever possible. Which of the following activities might enhance an acute attack? a) Eating organ meats and sardines b) Frequently ingesting salicylates c) Frequently drinking coffee d) Frequently drinking alcohol
b) Muscle biopsy
A patient is suspected of having myositis. The nurse prepares the patient for what procedure that will confirm the diagnosis? a) Bone scan b) Muscle biopsy c) Computed tomography (CT) d) Magnetic resonance imaging (MRI)
a) Arthrodesis
Which of the following procedures involves a surgical fusion of the joint? a) Arthrodesis b) Synovectomy c) Osteotomy d) Tenorrhaphy
b) Low back pain
Which of the following would the nurse most commonly assess in a client with ankylosing spondylitis? a) Red, butterfly-shaped facial rash b) Low back pain c) Increased urine output d) Patchy hair loss on the scalp
b) install safety devices in the home.
A nurse is developing a teaching plan for a client diagnosed with osteoarthritis. To minimize injury to the osteoarthritic client, the nurse should instruct the client to: a) wear protective devices when exercising. b) install safety devices in the home. c) wear worn, comfortable shoes. d) get help when lifting objects.
c) Prone
A patient with an acute exacerbation of arthritis is temporarily confined to bed. What position can the nurse recommend to prevent flexion deformities? a) Side-lying with pillows supporting the shoulders and legs b) Supine with pillows under the knees c) Prone d) Semi-Fowler's
a) Salicylates
Nursing assessment for tinnitus, gastric intolerance, and bleeding is important for patient who take which class of medications for a rheumatic disease? a) Salicylates b) Immunosuppressive c) COX-2 inhibitors d) Antimalarials
a) Medication dosages and side effects b) Safe exercise e) Assistive devices
The nurse is performing discharge teaching for a patient with rheumatoid arthritis. What teachings are priorities for the patient? Select all that apply. a) Medication dosages and side effects b) Safe exercise c) Narcotic safety d) Dressing changes e) Assistive devices
c) Elevated erythrocyte sedimentation rate
The nurse is reviewing the diagnostic test findings of a client with rheumatoid arthritis. Which of the following would the nurse expect to find? a) Increased C4 complement b) Increased albumin levels c) Elevated erythrocyte sedimentation rate d) Increased red blood cell count
a) Early morning stiffness
Which of the following clinical manifestations would the nurse expect to find in a client with osteoarthritis? a) Early morning stiffness b) Subcutaneous nodules c) Small joint involvement d) Joint pain that diminishes with rest
c) Arthrodesis
Which of the following procedures involves a surgical fusion of the joint? a) Synovectomy b) Osteotomy c) Arthrodesis d) Tenorrhaphy
d) Colchicine
The treatment of gout involves managing the acute inflammatory stage, preventing flare-ups, and controlling hyperuricemia. Select the agent of first choice when an acute inflammatory attack begins. a) Anturane b) Aloprim c) Benemid d) Colchicine
d) It is a noninflammatory disorder and the most common and frequently disabling of joint disorders.
Which of the following statements is accurate regarding osteoarthritis? a) It affects young males. b) It is caused by an overproduction of uric acid. c) It is the most common inflammatory arthritic disorder. d) It is a noninflammatory disorder and the most common and frequently disabling of joint disorders.
d) An exercise routine that includes range-of-motion (ROM) exercises
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? a) Acupuncture b) Cold therapy c) Heat therapy and nonsteroidal anti-inflammatory medications (NSAIDs) d) An exercise routine that includes range-of-motion (ROM) exercises
d) An exercise routine that includes range-of-motion (ROM) exercises
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? a) Cold therapy b) Heat therapy and nonsteroidal anti-inflammatory medications (NSAIDs) c) Acupuncture d) An exercise routine that includes range-of-motion (ROM) exercises
b) b. COX-2 inhibitor (Celebrex)
A patient, with a history of peptic ulcer disease is diagnosed with RA. The nurse practitioner prescribes an anti-inflammatory drug that also protects the stomach lining. Which of the following is that medication? a) a. NSAID (ibuprofen) b) b. COX-2 inhibitor (Celebrex) c) c. DMARD (Rheumatrex) d) d. Biologic agent (Enbrel)
b) Colchicine
When caring for a client experiencing an acute gout attack, the nurse anticipates administering which medication? a) Propoxyphene hydrochloride (Darvon) b) Colchicine c) Allopurinol (Zyloprim) d) Prednisone (Deltasone)
a) A 27-year-old black female
Which client is most likely to develop systemic lupus erythematosus (SLE)? a) A 27-year-old black female b) A 25-year-old white male c) A 25-year-old Jewish female d) A 35-year-old Hispanic male
c) Scleroderma
Which of the following connective tissue disorders is characterized by insoluble collagen being formed and accumulating excessively in the tissues? a) Systemic lupus erythematosus (SLE) b) Rheumatoid arthritis c) Scleroderma d) Polymyalgia rheumatic
a) Joint pain, crepitus, Heberden's nodes
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) Hot, inflamed joints; crepitus; joint pain c) Tophi, enlarged joints, Bouchard's nodes d) Swelling, joint pain, and tenderness on palpation
c) Administering ordered analgesics and monitoring their effects
A client is experiencing an acute exacerbation of rheumatoid arthritis. What should the nursing priority be? a) Performing meticulous skin care b) Supplying adaptive devices, such as a zipper-pull, easy-to-open beverage cartons, lightweight cups, and unpackaged silverware c) Administering ordered analgesics and monitoring their effects d) Providing comprehensive client teaching; including symptoms of the disorder, treatment options, and expected outcomes
c) Risk for impaired skin integrity
A nurse is poviding care for a client with progressive systemic sclerosis. For a client with this disease, the nurse is most likely to formulate which nursing diagnosis? a) Risk for imbalanced nutrition: More than body requirements b) Ineffective thermoregulation c) Risk for impaired skin integrity d) Constipation
b) Positive C-reactive protein (CRP) d) Positive antinuclear antibody (ANA) e) Red blood cell (RBC) count of <4.0 million/mcL
A patient is seen in the office for complaints of joint pain, swelling, and a low-grade fever. What blood studies does the nurse know are consistent with a positive diagnosis of RA? (Select all that apply.) a) Aspartate aminotransferase (AST) and alanine transaminase (ALT) levels of 7 units/L b) Positive C-reactive protein (CRP) c) Red blood cell (RBC) count of >4.0 million/mcL d) Positive antinuclear antibody (ANA) e) Red blood cell (RBC) count of <4.0 million/mcL
a) Methotrexate (Rheumatrex)
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) Febuxostat (Uloric) c) Probenecid (Benemid) d) Allopurinol (Zyloprim)
Which of the following medications are used in the treatment of gout? Select all that apply. a) Febuxostat (Uloric) b) Hydroxychloroquine (Plaquenil) c) Probenecid (Benemid) d) Allopurinol (Zyloprim) e) Sulfasalazine (Azulfidine)
c) Viscosupplementation
Which of the following newer pharmacological therapies, used for the treatment of osteoarthritis, is thought to improve cartilage function and retard degradation as well as have some anti-inflammatory effects? a) Glucosamine b) Capsaicin c) Viscosupplementation d) Chondroitin
c) It is a noninflammatory disorder and the most common and frequently disabling of joint disorders.
Which of the following statements is accurate regarding osteoarthritis? a) It is caused by an overproduction of uric acid. b) It affects young males. c) It is a noninflammatory disorder and the most common and frequently disabling of joint disorders. d) It is the most common inflammatory arthritic disorder.
c) Applications of ice
Ms. Dowe was seen in the clinic for musculoskeletal pain, fatigue, mood disorders, and sleep disturbances. The physician has diagnosed fibromyalgia. Which of the following would not be a part of teaching plan for her condition? a) Avoiding caffeine and alcohol b) Regular exercise and stress reduction c) Applications of ice d) Encouraging the client to eat a healthy diet
d) Applications of ice
Ms. Dowe was seen in the clinic for musculoskeletal pain, fatigue, mood disorders, and sleep disturbances. The physician has diagnosed fibromyalgia. Which of the following would not be a part of teaching plan for her condition? a) Regular exercise and stress reduction b) Encouraging the client to eat a healthy diet c) Avoiding caffeine and alcohol d) Applications of ice
d) If you have problems with a medication, you may stop it until your next physician visit.
Ms. Wilson is being discharged from the hospital after being diagnosed with and treated for systemic lupus erythematosus (SLE). You are teaching her and her family information about managing her disease. All of the following would be included, except? a) Avoid sunlight and ultraviolet radiation. b) Maintain a well-balanced diet and increase fluid intake to raise energy levels and promote tissue healing. c) Pace activities. d) If you have problems with a medication, you may stop it until your next physician visit.
b) Colchicine
When caring for a client experiencing an acute gout attack, the nurse anticipates administering which medication? a) Prednisone (Deltasone) b) Colchicine c) Allopurinol (Zyloprim) d) Propoxyphene hydrochloride (Darvon)
a) Hand and finger deformities are associated with the development of rheumatoid arthritis.
A client who has been diagnosed with osteoarthritis asks if he'll eventually begin to notice deformities in his hands and fingers as the condition progresses. Which concept should the nurse include in her response? a) Hand and finger deformities are associated with the development of rheumatoid arthritis. b) It's impossible to determine at the time of diagnosis how the disease will progress. c) A small percentage of osteoarthritis sufferers do eventually develop hand and arm deformities. d) He should discuss this concern with his physician.
c) "My finger joints are oddly shaped."
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 pain in my hands." c) "My finger joints are oddly shaped." d) "I have trouble with my balance."
b) age.
A nurse is assessing a client with possible osteoarthritis. The most significant risk factor for primary osteoarthritis is: a) congenital deformity. b) age. c) obesity. d) trauma.
d) age.
A nurse is assessing a client with possible osteoarthritis. The most significant risk factor for primary osteoarthritis is: a) congenital deformity. b) trauma. c) obesity. d) age.
b) Hydroxychloroquine (Plaquenil)
A patient is prescribed a DMARD that is successful in the treatment of RA but has side effects, including retinal eye changes. What medication does the nurse anticipate educating the patient about? a) Azathioprine (Imuran) b) Hydroxychloroquine (Plaquenil) c) Aurothioglucose (Solganal) d) Diclofenac (Voltaren)
b) Muscle biopsy
A patient is suspected of having myositis. The nurse prepares the patient for what procedure that will confirm the diagnosis? a) Computed tomography (CT) b) Muscle biopsy c) Magnetic resonance imaging (MRI) d) Bone scan
c) combat inflammation.
A physician orders corticosteroids for a child with systemic lupus erythematosus (SLE). The nurse knows that the purpose of corticosteroid therapy for this child is to: a) promote diuresis. b) prevent platelet aggregation. c) combat inflammation. d) prevent infection.
b) Heberden nodes
After teaching a class comparing rheumatoid arthritis and osteoarthritis, the instructor determines that the teaching was successful when the students identify which of the following as characteristic of osteoarthritis? a) Ulnar deviation b) Heberden nodes c) Boutonniere deformity d) Swan neck deformity
b) Maintain good posture.
A client with degenerative joint disease asks the nurse for suggestions to avoid unusual stress on the joints. Which suggestion would be most appropriate? a) Perform aerobic exercises. b) Maintain good posture. c) Keep shifting weight from one foot to the other. d) Maintain complete bed rest.
a) Hydroxychloroquine (Plaquenil)
A patient is prescribed a DMARD that is successful in the treatment of RA but has side effects, including retinal eye changes. What medication does the nurse anticipate educating the patient about? a) Hydroxychloroquine (Plaquenil) b) Diclofenac (Voltaren) c) Aurothioglucose (Solganal) d) Azathioprine (Imuran)
c) Jogging
The client asks the nurse about types of exercise that do not stress the joints. Which of the following would be an inappropriate type of exercise for the nurse to include in the teaching plan? a) Yoga b) T'ai chi c) Jogging d) Pilates
d) Metatarsophalangeal
Which of the following is the most common joint affected in gout? a) Knee b) Ankle c) Tarsal area d) Metatarsophalangeal
a) Zyloprim
A nurse practitioner is managing the care of a patient who has gout. Choose the medication that she would prescribe as the drug of choice to prevent tophi formation and promote tophi regression. a) Zyloprim b) Benemid c) Uloric d) Anturane
c) Located over bony prominence
A nursing student asks the instructor how to identify rheumatoid nodules in a client with rheumatoid arthritis. Which of the following characteristics would the instructor include? a) Tender to touch b) Nonmovable c) Located over bony prominence d) Reddened
d) Located over bony prominence
A nursing student asks the instructor how to identify rheumatoid nodules in a client with rheumatoid arthritis. Which of the following characteristics would the instructor include? a) Tender to touch b) Nonmovable c) Reddened d) Located over bony prominence
c) Slight dorsiflexion
A patient comes to the clinic with an inflamed wrist. How should the nurse splint the joint to immobilize it? a) Extension b) Hyperextension c) Slight dorsiflexion d) Internal rotation
d) Suggestive of RA
A patient has a serum study that is positive for the rheumatoid factor. What does the nurse understand is the significance of this test result? a) Diagnostic for Sjögren's syndrome b) Diagnostic for SLE c) Specific for RA d) Suggestive of RA
a) If you have problems with a medication, you may stop it until your next physician visit.
Ms. Wilson is being discharged from the hospital after being diagnosed with and treated for systemic lupus erythematosus (SLE). You are teaching her and her family information about managing her disease. All of the following would be included, except? a) If you have problems with a medication, you may stop it until your next physician visit. b) Avoid sunlight and ultraviolet radiation. c) Pace activities. d) Maintain a well-balanced diet and increase fluid intake to raise energy levels and promote tissue healing.
a) age.
A nurse is assessing a client with possible osteoarthritis. The most significant risk factor for primary osteoarthritis is: a) age. b) obesity. c) congenital deformity. d) trauma.
d) Ankylosis
Which of the following terms refers to fixation or immobility of a joint? a) Diarthrodial b) Arthroplasty c) Hemarthrosis d) Ankylosis
b) Maintain good posture.
A client with degenerative joint disease asks the nurse for suggestions to avoid unusual stress on the joints. Which suggestion would be most appropriate? a) Maintain complete bed rest. b) Maintain good posture. c) Keep shifting weight from one foot to the other. d) Perform aerobic exercises.
c) Fatigue
The client with rheumatoid arthritis has a red blood cell count of 3.2 cells/cu mm. Which nursing diagnosis has the highest priority for the client? a) Self-care deficit: Bathing b) Ineffective airway clearance c) Fatigue d) Risk for infection
b) Ankylosis
Which of the following refers to fixation of a joint? a) Articulations b) Ankylosis c) Synovitis d) Pannus
b) Limited passive movement
Which of the following maybe the first and only physical sign of symptomatic osteoarthritis (OA)? a) Joint instability b) Limited passive movement c) Limb shortening d) Joint enlargement
a) Ankylosis
Which of the following refers to fixation of a joint? a) Ankylosis b) Articulations c) Synovitis d) Pannus
c) Salicylates
Nursing assessment for tinnitus, gastric intolerance, and bleeding is important for patient who take which class of medications for a rheumatic disease? a) Antimalarials b) COX-2 inhibitors c) Salicylates d) Immunosuppressive
d) Patients with fibromyalgia may feel as if their symptoms are not taken seriously.
Nursing care for the patient with fibromyalgia should be guided by what assumption? a) All patients with fibromyalgia have the same type of symptoms. b) Patients with fibromyalgia rarely respond to treatment. c) Patients with fibromyalgia will eventually lose their ability to walk. d) Patients with fibromyalgia may feel as if their symptoms are not taken seriously.
d) Allopurinol (Zyloprim)
Of the following, which drug is not used in the treatment of rheumatoid arthritis? a) Methotrexate (Rheumatrex) b) Etanercept (Enbrel) c) Adalimumab (Humira) d) Allopurinol (Zyloprim)
b) Pain c) Alteration in self-concept e) Fatigue
The nurse is caring for a patient who has been diagnosed with "rheumatic disease." What nursing diagnoses will most likely apply to this patient's care? Select all that apply a) Fluid volume deficit b) Pain c) Alteration in self-concept d) Fluid and electrolyte imbalance e) Fatigue
d) Protect the hands and feet from cold.
The nurse is constructing a teaching plan for the client newly diagnosed with scleroderma. Which of the following should the nurse include in the teaching plan? a) Take all antibiotics until they are gone. b) Perform weight-bearing exercises daily. c) Avoid sunlight and ultraviolet light. d) Protect the hands and feet from cold.
d) Celecoxib (Celebrex)
The nurse is educating a patient about the risks of stroke related to the new prescription for a COX-2 inhibitor and what symptoms they should report. Which COX-2 inhibitor is the nurse educating the patient about? a) Piroxicam (Feldene) b) Tolmetin sodium (Tolectin) c) Ibuprofen (Motrin) d) Celecoxib (Celebrex)
c) Colchicine
The treatment of gout involves managing the acute inflammatory stage, preventing flare-ups, and controlling hyperuricemia. Select the agent of first choice when an acute inflammatory attack begins. a) Benemid b) Aloprim c) Colchicine d) Anturane
c) Physical therapy and exercise
What intervention is a priority for a patient diagnosed with osteoarthritis? a) Hydrotherapy b) Colchicine c) Physical therapy and exercise d) Allopurinol (Zyloprim)
b) Imbalanced nutrition: greater than body requirements
Which nursing diagnosis is least appropriate for the client with rheumatoid arthritis? a) Impaired physical mobility b) Imbalanced nutrition: greater than body requirements c) Chronic pain d) Deficient knowledge: symptom management
c) Imbalanced nutrition: less than body requirements
Which nursing diagnosis is most inappropriate for the client with osteoarthritis? a) Chronic pain b) Deficient knowledge: symptom management c) Imbalanced nutrition: less than body requirements d) Impaired physical mobility
a) Disease-modifying antirheumatics (DMARDs) b) Glucocorticoids c) Anti-inflammatory
Which of the following classifications are considered antiarthritic drugs? Select all that apply. a) Disease-modifying antirheumatics (DMARDs) b) Glucocorticoids c) Anti-inflammatory d) Muscle relaxants e) Diuretics
b) Early morning stiffness
Which of the following clinical manifestations would the nurse expect to find in a client with osteoarthritis? a) Subcutaneous nodules b) Early morning stiffness c) Joint pain that diminishes with rest d) Small joint involvement
c) Early morning stiffness
Which of the following clinical manifestations would the nurse expect to find in a client with osteoarthritis? a) Subcutaneous nodules b) Small joint involvement c) Early morning stiffness d) Joint pain that diminishes with rest
c) Scleroderma
Which of the following connective tissue disorders is characterized by insoluble collagen being formed and accumulating excessively in the tissues? a) Systemic lupus erythematosus b) Polymyalgia rheumatic c) Scleroderma d) Rheumatoid arthritis
d) Celecoxib (Celebrex)
The nurse is educating a patient about the risks of stroke related to the new prescription for a COX-2 inhibitor and what symptoms they should report. Which COX-2 inhibitor is the nurse educating the patient about? a) Ibuprofen (Motrin) b) Piroxicam (Feldene) c) Tolmetin sodium (Tolectin) d) Celecoxib (Celebrex)
a) Chronic fatigue, generalized muscle aching, and stiffness
The nurse intervenes to assist the patient with fibromyalgia to cope with what symptoms? a) Chronic fatigue, generalized muscle aching, and stiffness b) Diminished vision, chronic fatigue, and reduced appetite c) Pain, viral infection, and tremors d) Generalized muscle aching, mood swings, and loss of balance
a) After the client has had a warm paraffin hand bath
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 had a warm paraffin hand bath b) First thing in the morning when the client wakes c) After cool compresses have been applied to the hands d) After the client has a diagnostic test
b) colchicine
The nurse is reviewing the medication administration record of the client. Which of the following medications would lead the nurse to suspect that the client is suffering from an acute attack of gout? a) methotrexate b) colchicine c) prednisone d) penicillamine
b) gout.
The presence of crystals in synovial fluid obtained from an arthrocentesis is indicative of a) degeneration. b) gout. c) infection. d) inflammation.
b) Risk for impaired skin integrity
A nurse is poviding care for a client with progressive systemic sclerosis. For a client with this disease, the nurse is most likely to formulate which nursing diagnosis? a) Ineffective thermoregulation b) Risk for impaired skin integrity c) Constipation d) Risk for imbalanced nutrition: More than body requirements
c) Disturbed body image
A client who was diagnosed with scleroderma 2 years ago is withdrawn, does not look at the nurse, and asks to be left alone. An appropriate nursing diagnosis for the client is: a) Chronic low self-esteem b) Spiritual distress c) Disturbed body image d) Risk for loneliness
a) "Pace yourself and rest frequently, especially after activities."
A client with osteoarthritis tells the nurse she is concerned that the disease will prevent her from doing her chores. Which suggestion should the nurse offer? a) "Pace yourself and rest frequently, especially after activities." b) "Do all your chores in the evening, when pain and stiffness are least pronounced." c) "Do all your chores in the morning, when pain and stiffness are least pronounced." d) "Do all your chores after performing morning exercises to loosen up."
b) Facial erythema, pericarditis, pleuritis, fever, and weight loss
A nurse assesses a client in the physician's office. Which assessment findings support a suspicion of systemic lupus erythematosus (SLE)? a) Photosensitivity, polyarthralgia, and painful mucous membrane ulcers b) Facial erythema, pericarditis, pleuritis, fever, and weight loss c) Hypothermia, weight gain, lethargy, and edema of the arms d) Weight gain, hypervigilance, hypothermia, and edema of the legs