MSWQ 40

The nurse is preparing teaching for a patient with mild osteoarthritis of the knees. Which medication treatments should the nurse include in these instructions? (Select all that apply.) 1. opioids 2. NSAIDs 3. hormones 4. antibiotics 5. hyaluronic acid

2. NSAIDs 5. hyaluronic acid

A patient with osteoporosis is prescribed the bisphosphonate alendronate (Fosamax). What should the nurse include when teaching the patient about this medication? (Select all that apply.) 1. Take the medication as directed with clear water only. 2. Avoid lying down for 30 to 60 minutes after taking the drug. 3. Consume no food or fluids for 30 minutes after taking the drug. 4. Take calcium and vitamin D supplements as instructed by your healthcare provider. 5. Tingling around the mouth or numbness and tingling of the fingers or toes are expected effects.

1. Take the medication as directed with clear water only. 2. Avoid lying down for 30 to 60 minutes after taking the drug. 3. Consume no food or fluids for 30 minutes after taking the drug. 4. Take calcium and vitamin D supplements as instructed by your healthcare provider.

The nurse is reviewing laboratory values for a patient with an acute attack of gout. Which laboratory value should the nurse expect to be increased? 1. uric acid 2. creatinine 3. hematocrit 4. alkaline phosphatase

1. uric acid

The nurse is determining the type of arthritis a patient is experiencing. Which assessment finding would be present if the patient has rheumatoid arthritis? 1. Stiffness is relieved by activity. 2. Health history includes weight loss and fever. 3. Abnormal joint findings are limited to the hands. 4. Heberden's nodes are located on the finger joints.

2. Health history includes weight loss and fever.

The nurse is preparing a teaching session for community members on osteoporosis and osteomalacia. What should the nurse include as a potential complication for both of these health problems? 1. infection 2. fractures 3. blood clots 4. contractures

2. fractures

After assessing a patient in the emergency department, the nurse determines that the patient has a form of arthritis that is a medical emergency. For which type of arthritis should the nurse plan care for this patient? 1. osteoarthritis 2. septic arthritis 3. gouty arthritis 4. reactive arthritis

2. septic arthritis

The nurse monitors vital signs and laboratory values for a patient recovering from a total knee replacement. For which reason is the nurse implementing these actions? 1. Prevent the progression of infection. 2. Teach the patient the importance of these assessments. 3. Ensure adequate circulation to the involved extremity. 4. Promote rapport between the patient and the healthcare providers.

3. Ensure adequate circulation to the involved extremity.

The nurse identifies the diagnosis of Ineffective Protection as appropriate for a patient with systemic lupus erythematosus. Which intervention should the nurse include when planning this patient's care? 1. Monitor laboratory findings. 2. Provide appropriate skin care. 3. Practice careful hand hygiene. 4. Administer prescribed medications.

3. Practice careful hand hygiene.

The community nurse is preparing a presentation on Lyme disease for community members. What should the nurse explain about the spread of the organism for this disease? 1. the bite of an infected mosquito 2. brief contact with an infected tick 3. an infected tick embedded for > 24 hours 4. primarily by droplets from infected people

3. an infected tick embedded for > 24 hours

During an assessment the nurse determines that a patient with knee pain is at risk for osteoarthritis. What did the nurse assess in this patient? 1. having a history of falls 2. eating a diet high in calcium 3. walking 30 minutes each day 4. being overweight by 30 pounds

4. being overweight by 30 pounds