Ch 39 PrepU

A client suspected of having systemic lupus erythematosus (SLE) is being scheduled for testing. She asks which of the tests ordered will determine if she is positive for the disorder. Which statement by the nurse is most accurate? -"You should discuss that matter with your physician." -"The diagnosis won't be based on the findings of a single test but by combining all data found." -"SLE is a very serious systemic disorder." -Tell me more about your concerns about this potential diagnosis."

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

A client comes to the emergency department complaining of pain in the right leg. When obtaining the history, the nurse learns that the client has a history of obesity and hypertension. Based on this information the nurse anticipates the client having which musculoskeletal disorder? -Degenerative joint disease -Muscular dystrophy -Scoliosis -Paget's disease

Degenerative joint disease

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 benefial -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.

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.

A patient arrives at the clinic with complaints of pain in the left great toe. The nurse assesses a swollen, warm, erythematous left great toe. What does the nurse determine that the symptoms are most likely related to? -Rheumatoid arthritis -Osteoarthritis -Fibromyalgia -Gout

Gout

Which of the following suggests to the nurse that the client with systemic lupus erythematous is having renal involvement? -Chest pain -Decreased cognitive ability -Behavioral changes -Hypertension

Hypertension

Which nursing diagnosis is least appropriate for the client with rheumatoid arthritis? -Imbalanced nutrition: greater than body requirements -Deficient knowledge: symptom management -Impaired physical mobility -Chronic pain

Imbalanced nutrition: greater than body requirements

Which of the following would the nurse most commonly assess in a client with ankylosing spondylitis? -Low back pain -Increased urine output -Red, butterfly-shaped facial rash -Patchy hair loss on the scalp

Low back pain

Which joint is most commonly affected in gout? -Metatarsophalangeal -Tarsal area -Ankle -Knee

Metatarsophalangeal

Which of the following is the most common cause for a patient to seek medical attention for arthritis? -Pain -Joint swelling -Stiffness -Weakness

Pain

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 -Sjogren's syndrome

Raynaud's phenomenon

In teaching clients with osteoarthritis about their condition, it would be important for the nurse to focus on: -Detection of systemic complications -Strategies for remaining active -DMARDs therapy -Prevention of joint deformity

Strategies for remaining active

Which disorder is characterized by a butterfly-shaped rash across the bridge of the nose and cheeks? -Rheumatoid arthritis (RA) -Systemic lupus erythematosus (SLE) -Scleroderma -Polymyositis

Systemic lupus erythematosus (SLE)

A patient is taking NSAIDs for the treatment of osteoarthritis. What education should the nurse give the patient about the medication? -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 Inform the physician if there is a ringing in the ears.

Take the medication with food to avoid stomach upset.

Which term indicates an accumulation of crystalline depositions in articular surfaces, bones, soft tissue, and cartilage? -Subchondral bone -Pannus - Joint effusion -Tophi

Tophi

Which newer pharmacological therapy, used to treat osteoarthritis, is thought to prevent the loss of cartilage and repair chondral defects, as well as have some anti-inflammatory effects? -Glucosamine -Chondroitin -Viscosupplementation -Capsaicin

Viscosupplementation

Osteoarthritis is known as a disease that -is the most common and frequently disabling of joint disorders. -affects young males. -requires early treatment because most of the damage seems to occur early in the course of the disease. -affects the cartilaginous joints of the spine and surrounding tissues.

is the most common and frequently disabling of joint disorders.

Which of the following would the nurse expect to assess as the most common finding associated with fibromyalgia? -Heberden nodes -Jaw locking -Widespread chronic pain -Butterfly facial rash

Widespread chronic pain

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

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

A physician orders tests to determine if a client has systemic lupus erythematosus (SLE). Which test result helps to confirm an SLE diagnosis? -Increased total serum complement levels -Negative antinuclear antibody test -Negative lupus erythematosus cell test -An above-normal anti-deoxyribonucleic acid (DNA) test

An above-normal anti-deoxyribonucleic acid (DNA) test