MED SURG 2 Exam

A nurse is preparing a presentation at a community center about OA. The nurse should plan to include which of the following information?SATA

A: Affects weight-bearing joints. crepitus can occur in affected joints, causes joint stiffness, causes joint pain.

After being hospitalized for 3 days with a right femur fracture, a patient suddenly develops shortness of breath and tachypnea. The patient tells the nurse, "I feel like I am going to die!" Which action should the nurse take first?

B. Administer prescribed PRN O2 at 4 L/min.

Nurse providing discharge teaching to client after lumbar laminectomy. Which complication does the nurse instruct the client to return to the hospital?

D. Clear drainage from the incision site

A nurse is caring for a client who has a history of chronic ulcerative colitis and has a new diagnosis of anemia. The nurse should explain to the client that which of the following manifestations of colitis can result from anemia?

chronic blood loss

A nurse is planning care for a client who is receiving furosemide (Lasix) IV for peripheral edema. Which of the following should the nurse include in the plan of care? (Select all that apply.)

A. CORRECT: An adverse effect of furosemide is ototoxicity. Manifestations of tinnitus should be reported to the provider. C. CORRECT: A decrease in serum potassium levels is an adverse effect of furosemide, and the provider should be notified. D. CORRECT: Slowly elevating the head of the bed will prevent the client from developing orthostatic hypotension, which is a sign of hypovolemia. E. CORRECT: A banana is high in potassium. The nurse should encourage the client to eat foods high in potassium to prevent hypokalemia.

A nurse is teaching a client about risk factors for OA. Which of the following factors should the nurse include in the teaching? SATA

A: Aging, Obesity, Smoking Aging is correct. Aging is a risk factor for osteoarthritis, as the joints bear the load of the body's weight over time. Obesity is correct. Obesity is a risk factor for osteoarthritis, as it increases the load of the body's weight over time. Smoking is correct. Smoking is a risk factor for osteoarthritis, as smoking predisposes people to the loss of cartilage in the knees.

A client is starting celecoxib to treat OA. The nurse should instruct the client to watch for and report which of the following adverse effects?

A: Black, tarry stools R: Celecoxib can cause gastrointestinal bleeding. The client should watch for and report black, dark-colored, or bloody stools, abdominal pain, or coffee-ground emesis. The nurse also should instruct the client to take celecoxib with food to reduce gastric irritation.

A nurse is caring for an older adult client who has RA and is taking aspirin 650mg every 4 hours. Which of the following diagnostics tests should the nurse monitor to evaluate the effectiveness of this medication?

A: Erythrocyte sedimentation rate (ESR) R: Rheumatoid arthritis is a chronic inflammatory disease. ESR is useful in detecting and monitoring tissue inflammation in clients with RA. As the disease improves the ESR decreases.

A nurse is reviewing the medical record of a female client. Which of the following findings should the nurse identify as a risk factor for osteoporosis?

A: History of anorexia nervosa R: The nurse should identify anorexia nervosa as a risk factor for osteoporosis. Inadequate protein intake can lead to a decreased bone density, increasing the risk for fractures.

A nurse is caring for a female client who has RA and asks the nurse if it is safe for her to take aspirin. The nurse should recognize which of the following findings in the clients history is a contraindication to this medication?

A: History of gastric ulcers R: Aspirin is contraindicated for clients who have a history of gastrointestinal bleeding and peptic ulcer disease because it impedes platelet aggregation. An adverse effect of aspirin is gastric bleeding.

A nurse is caring for a client who has RA and is experiencing difficulty feeding herself using adaptive devices. The nurse should initiate a referral to which of the following members of the interprofessional health care team?

A: Occupational therapist R: An occupational therapist assists clients who have physical challenges to use adaptive devices and strategies to help with self-care activities such as feeding.

A nurse is completing a physical assessment of a client who has early OA. Which of the following manifestations should the nurse expect?

A: Pain worsens with activity R: The typical cycle of pain and relief in a client who has early osteoarthritis consists of pain with activity and pain relief with rest. As the disorder progresses, clients typically experience pain even while the joint is at rest.

nurse is assessing client who reports frequent vomiting and diarrhea for the past 3 days. what would the nurse expect to find

hypotension (frequent vomiting and diarrhea causes dehydration which manifests as postural hypotension)frequent vomiting and diarrhea can cause dehydration which manifests as tachycardia)dark yellow, concentrated urine flat neck veins when client is lying supine poor skin turgor (skin lacking elasticity from dehydration)