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

A client with systemic lupus erythematosus (SLE)was recently discharged from the hospital after an acute exacerbation.The client is in the clinic for a follow-up visit and is distraught about the possibility of another hospitalization disrupting the family.What action by the nurse is best?

A client recently diagnosed with systemic lupus erythematosus (SLE)is in the clinic for a follow-up visit.The nurse evaluates that the client practices good self-care when the client makes which statement?

The nurse is teaching a client with gout dietary strategies to prevent exacerbations or other problems.Which statement by the nurse is most appropriate?

A client with fibromyalgia is in the hospital for an unrelated issue.The client reports that sleep,which is always difficult,is even harder now.What actions by the nurse are most appropriate? (Select all that apply.)

A client has rheumatoid arthritis (RA)and the visiting nurse is conducting a home assessment.What options can the nurse suggest for the client to maintain independence in activities of daily living (ADLs)? (Select all that apply.)

The nurse is caring for a client using a continuous passive motion (CPM)machine and has delegated some tasks to the unlicensed assistive personnel (UAP).What action by the UAP warrants intervention by the nurse?

An older client returning to the postoperative nursing unit after a hip replacement is disoriented and restless.What actions does the nurse delegate to the unlicensed assistive personnel (UAP)? (Select all that apply.)

The nurse in the rheumatology clinic is assessing clients with rheumatoid arthritis (RA).Which client should the nurse see first?

After a total knee replacement,a client is on the postoperative nursing unit with a continuous femoral nerve blockade.On assessment,the nurse notes the client's pulses are 2+/4+ bilaterally; the skin is pale pink,warm,and dry; and the client is unable to dorsiflex or plantarflex the affected foot.What action does the nurse perform next?

A nurse in the family clinic is teaching a client newly diagnosed with osteoarthritis (OA)about drugs used to treat the disease.For which medication does the nurse plan primary teaching?

A client is started on etanercept (Enbrel).What teaching by the nurse is most appropriate?

A client comes to the family medicine clinic and reports joint pain and stiffness.The nurse is asked to assess the client for Heberden's nodules.What assessment technique is correct?

A nurse is discharging a client after a total hip replacement.What statement by the client indicates good potential for self-management?

A client takes celecoxib (Celebrex)for chronic osteoarthritis in multiple joints.After a knee replacement,the health care provider has prescribed morphine sulfate for postoperative pain relief.The client also requests the celecoxib in addition to the morphine.What action by the nurse is best?

The clinic nurse assesses a client with diabetes during a checkup.The client also has osteoarthritis (OA).The nurse notes the client's blood glucose readings have been elevated.What question by the nurse is most appropriate?

A client is scheduled to have a hip replacement.Preoperatively,the client is found to be mildly anemic and the surgeon states the client may need a blood transfusion during or after the surgery.What action by the preoperative nurse is most important?

A nurse works with several clients who have gout.Which types of gout and their drug treatments are correctly matched? (Select all that apply.)

An older client is scheduled to have hip replacement in 2 months and has the following laboratory values: white blood cell count: 8900/mm³,red blood cell count: 3.2/mm³,hemoglobin: 9 g/dL,hematocrit: 32%.What intervention by the nurse is most appropriate?

A client has been diagnosed with fibromyalgia syndrome but does not want to take the prescribed medications.What nonpharmacologic measures can the nurse suggest to help manage this condition? (Select all that apply.)

A nurse works in the rheumatology clinic and sees clients with rheumatoid arthritis (RA).Which client should the nurse see first?