Geri final 4
Prednisone (Deltasone) is prescribed for a patient with an acute exacerbation of rheumatoid arthritis. Which laboratory result will the nurse monitor to determine whether the medication has been effective?
C-reactive protein level
When teaching a patient who has rheumatoid arthritis (RA) about how to manage activities of daily living, the nurse instructs the patient to:
avoid activities that require continuous use of the same muscles.
A long-term care patient who takes multiple medications develops acute gouty arthritis. The nurse will consult with the health care provider before giving the prescribed dose of:
hydrochlorothiazide (HydroDIURIL).
Nurse Sharon is lecturing on Osteoporosis to student nurses. How do you reduce injuries in patients with Osteoporosis? (select all that apply)
Increase weight bearing and muscle-building exercises. Improve nutrition Pay attention to home safety and improvements.
The client is diagnosed with osteoarthritis. Which sign/symptom would the nurse expect the client to exhibit?
Joint stiffness
Professor Taylor is discussing Osteoarthritis with student nurses. What areas on the body does Osteoarthritis affect? (Select all that apply)
Knees Spine Hips
When helping a patient with rheumatoid arthritis (RA) plan a daily routine, the nurse informs the patient that it is most helpful to start the day with:
a warm bath followed by a short rest.
A patient with chronic back pain is seen in the pain clinic for follow-up. In order to evaluate whether the pain management is effective, which question is best for the nurse to ask?
"Does the pain keep you from doing things you enjoy?"
Acute inflammation of the arteries of the scalp in the temporal area is related to which disorder?
Giant Cell Arteritis
A 35-year-old patient with three school-age children who has recently been diagnosed with rheumatoid arthritis (RA) tells the nurse that the inability to be involved in many family activities is causing stress at home. Which response by the nurse is most appropriate?
"Tell me more about the situations that are causing stress."
A patient is postoperative following back surgery. The patient asks the nurse about the use of pain medications following surgery. What would be a correct response by the nurse?
"Your doctor has ordered pain medications for you, which you should not be afraid to request any time you have pain."
The nurse is caring for a patient with rheumatoid arthritis. Which information will the nurse include when teaching range-of-motion exercises to a patient with an exacerbation of rheumatoid arthritis?
Application of cold packs before exercise may decrease joint pain.
The nurse is teaching about central lines. How many types of central venous access devices are there?
4
Mr. Hudson has had chronic back pain for years. How many months is chronic pain?
6 months to years
The nurse is assessing a patient receiving a continuous opioid infusion, the nurse immediately notifies the physician when the patient has:
A sedation level of 4
Ms. Anderson is having mild back pain. What would be the best choice of medication for treating is pain?
Acetaminophen
Which of the following would be best choice for treating mild back pain in an older adult?
Acetaminophen
Mr. Wright is recovering from abdominal surgery. When the nurse assists him to walk, she observes that he grimaces, moves stiffly, and becomes pale. She is aware that he has consistently refused his pain medication. What would be a priority nursing diagnosis for this patient?
Acute Pain related to fear of taking prescribed postoperative medications
Mr. Hudson has had chronic back pain for years. What are barriers to pain management? (select all that apply)
All answers are correct
Ms. Harris has decided to try Non-pharmacologic treatment for pain. What are examples of Non-pharmacologic pain? (select all that apply)
All answers are correct
The nurse is teaching about central lines. Why are central lines used? (Select all that apply)
All answers are correct
The nurse is caring for a patient with lower back pain. What would be the first effective nursing intervention for a patient with lower back pain?
Applying a moist heating pad to the area at prescribed intervals.
A patient who has rheumatoid arthritis is seen in the outpatient clinic and the nurse notes that rheumatoid nodules are present on the patient's elbows. Which action will the nurse take?
Assess the nodules for skin breakdown or infection
The occupational health nurse is teaching a class on the risk factors for developing Osteoarthritis. Which is a modifiable risk for developing Osteoarthritis?
Being overweight
Millions of Americans have Osteoporosis. Which medication is used for Osteoporosis?
Boniva (ibandronate)
Nurse Sharon is lecturing on Osteoporosis to student nurses. What is the definition of Secondary Osteoporosis?
Caused by another disease state.
The nurse obtains this information when assessing a patient who is taking hydroxychloroquine (Plaquenil) to treat rheumatoid arthritis. Which symptom is most important to report to the health care provider?
Complaint of blurry vision
The nurse is teaching her patient about gout. What is the best definition for gout?
Deposit of urate crystals in joints and body tissues
The nurse is teaching about osteoporosis. What kind of imaging will tell about bone loss in a patient with osteoporosis?
Diagnosed by dual-energy x-ray absorptiometry (DEXA)
Ms. Jenkins has Rheumatoid Arthritis. Which medication is best for this disorder?
Disease-modifying antirheumatic drugs (DMARDS)
Nurse Sharon is lecturing on Osteoporosis to student nurses. What kind of imaging should be ordered for patients with Osteoporosis?
Dual-energy x-ray absorptiometry. (DEXA)
Mr. Parks has Polymyalgia Rheumatica. What signs and symptoms will he have? (select all that apply)
Fatigue Pain in upper neck and arms Low grade fever
Which of the following are risk factors for the development of Osteoporosis? Select all that apply)
High alcohol consumption Advancing age Sedentary lifestyle Smoking
When doing a pain assessment for a patient who has been admitted with metastatic breast cancer, which question asked by the nurse will give the most information about the patient's pain? (Select all that apply)
How would you describe your pain?
The client diagnosed with Osteoarthritis is prescribed a NSAID. Which instruction should the nurse teach the client?
Notify the HCP if vomiting blood
Which one of the following instructions is crucial for the nurse to give to both family members and the patient who is about to be started on a patient-controlled analgesia (PCA) of morphine?
Only the patient should push the button.
Nurse Jane is taking care of cognitive impaired patients who cannot accurately report pain, which assessment tool would be most useful?
PAINAD scale
Which member of the health care team should the nurse refer the client diagnosed with Osteoarthritis who is complaining of not being able to get in and out of the bathtub?
Physical therapist
________________ is a form of arthritis that is an autoimmune condition that causes inflammation within the joints, specifically the synovium.
Rheumatoid arthritis
Mr. Clark has been prescribed opioid analgesic drugs for pain. What are side effects of opioid analgesic drugs? (select all that apply)
Sedation Pruritus Nausea
Which of the following are risk factors for the development of osteoporosis? (Select all that apply.)
Sedentary lifestyle Smoking Advancing age High alcohol consumption
Ms. Jones was diagnosed with gout. Which foods or drinks should she stay away from? (Select all that apply)
Shellfish Alcohol
Mr. Green bears his back pain. He is withdrawn, and prefers to be alone. What kind of expression of pain is this called?
Stoic and unemotive
A home health patient with rheumatoid arthritis (RA) complains to the nurse about having chronically dry eyes. Which action by the nurse is most appropriate?
Suggest that the patient start using over-the-counter (OTC) artificial tears.
The nurse is caring for a patient with a new diagnosis of rheumatoid arthritis, which action will the nurse include in the plan of care?
Suggest that the patient take a nap in the afternoon.
When the nurse is reviewing laboratory data for a patient who is taking methotrexate (Rheumatrex) to treat rheumatoid arthritis, which information is most important to communicate to the health care provider?
The white blood cell (WBC) count is 1500/L.
Ms. Jones was diagnosed with Gout. What lab test clarified these findings?
Uric acid
Did you learn anything in this Geriatrics class?
Yes
When developing the plan of care for a patient with chronic pain, the nurse plans interventions based on the knowledge that chronic pain is most effectively relieved when analgesics are administered in what matter?
around the clock (ATC)
A patient with an acute attack of gout is treated with colchicine. The nurse determines that the drug is effective upon finding:
relief of joint pain.
