Exam 18: Care of Patients with Arthritis and Other Connective Tissue Diseases

The nurse on an inpatient rheumatology unit receives a hand-off report on a client with an acute exacerbation of systemic lupus erythematosus (SLE).Which reported laboratory value requires the nurse to assess the client further?

A nurse is caring for a client with systemic sclerosis.The client's facial skin is very taut,limiting the client's ability to open the mouth.After consulting with a registered dietitian for appropriate nutrition,what other consultation should the nurse facilitate?

A nurse is discharging a client to a short-term rehabilitation center after a joint replacement.Which action by the nurse is most important?

A home health care nurse is visiting a client discharged home after a hip replacement.The client is still on partial weight bearing and using a walker.What safety precautions can the nurse recommend to the client? (Select all that apply.)

A client has a continuous passive motion (CPM)device after a total knee replacement.What action does the nurse delegate to the unlicensed assistive personnel (UAP)after the affected leg is placed in the machine while the client is in bed?

A nurse is caring for a client after joint replacement surgery.What action by the nurse is most important to prevent wound infection?

A nurse is teaching a client with psoriatic arthritis about the medication golimumab (Simponi).What information is most important to include?

A client has fibromyalgia and is prescribed duloxetine hydrochloride (Cymbalta).The client calls the clinic and asks the nurse why an antidepressant drug has been prescribed.What response by the nurse is best?

A client who has had systemic lupus erythematosus (SLE)for many years is in the clinic reporting hip pain with ambulation.Which action by the nurse is best?

The nurse on the postoperative inpatient unit assesses a client after a total hip replacement.The client's surgical leg is visibly shorter than the other one and the client reports extreme pain.While a co-worker calls the surgeon,what action by the nurse is best?

The nurse working in the orthopedic clinic knows that a client with which factor has an absolute contraindication for having a total joint replacement?

The nursing student studying rheumatoid arthritis (RA)learns which facts about the disease? (Select all that apply.)

The nurse working in the rheumatology clinic assesses clients with rheumatoid arthritis (RA)for late manifestations.Which signs/symptoms are considered late manifestations of RA? (Select all that apply.)

A client has a possible connective tissue disease and the nurse is reviewing the client's laboratory values.Which laboratory values and their related connective tissue diseases (CTDs)are correctly matched? (Select all that apply.)

A client has rheumatoid arthritis that especially affects the hands.The client wants to finish quilting a baby blanket before the birth of her grandchild.What response by the nurse is best?

A nurse is working with a community group promoting healthy aging.What recommendation is best to help prevent osteoarthritis (OA)?

The nurse is caring for a client with systemic sclerosis (SSc).What comfort measures can the nurse delegate to the unlicensed assistive personnel (UAP)? (Select all that apply.)

A nurse is teaching a female client with rheumatoid arthritis (RA)about taking methotrexate (MTX)(Rheumatrex)for disease control.What information does the nurse include? (Select all that apply.)

A client has newly diagnosed systemic lupus erythematosus (SLE).What instruction by the nurse is most important?

The nurse is working with a client who has rheumatoid arthritis (RA).The nurse has identified the priority problem of poor body image for the client.What finding by the nurse indicates goals for this client problem are being met?