Question 1

The nurse teaching a support group of women with rheumatoid arthritis (RA)about how to manage activities of daily living suggests they should

Accepted Answer

A) avoid activities requiring repetitive use of the same muscles and joints. 
B) protect the knee joints by sleeping with a small pillow under the knees. 
C) stand rather than sit when performing daily household and yard chores. 
D) strengthen small hand muscles by wringing out sponges or washcloths. 
A) avoid activities requiring repetitive use of the same muscles and joints. 
B) protect the knee joints by sleeping with a small pillow under the knees. 
C) stand rather than sit when performing daily household and yard chores. 
D) strengthen small hand muscles by wringing out sponges or washcloths.

Question 2

A patient has scleroderma manifested by CREST (calcinosis,Raynaud's phenomenon,esophageal dysfunction,sclerodactyly,and telangiectasia)syndrome. Which action will the nurse include in the plan of care?

Accepted Answer

A) Avoid use of capsaicin cream on hands. 
B) Keep the environment warm and draft free. 
C) Obtain capillary blood glucose before meals. 
D) Assist to bathroom every 2 hours while awake. 
A) Avoid use of capsaicin cream on hands. 
B) Keep the environment warm and draft free. 
C) Obtain capillary blood glucose before meals. 
D) Assist to bathroom every 2 hours while awake.

Question 3

A patient with rheumatoid arthritis (RA)complains to the clinic nurse about having chronically dry eyes. Which action by the nurse is appropriate?

Accepted Answer

A) Ask the HCP about discontinuing methotrexate 
B) Remind the patient that RA is a chronic health condition. 
C) Suggest the patient use over-the-counter (OT
C)  artificial tears. 
D) Teach the patient about adverse effects of the RA medications. 
A) Ask the HCP about discontinuing methotrexate 
B) Remind the patient that RA is a chronic health condition. 
C) Suggest the patient use over-the-counter (OT
C)  artificial tears. 
D) Teach the patient about adverse effects of the RA medications.

Question 4

Which information will the nurse include when teaching a patient with newly diagnosed ankylosing spondylitis (AS)about management of the condition?

Accepted Answer

A) Exercise by taking long walks. 
B) Do daily deep-breathing exercises. 
C) Sleep on the side with hips flexed. 
D) Take frequent naps during the day. 
A) Exercise by taking long walks. 
B) Do daily deep-breathing exercises. 
C) Sleep on the side with hips flexed. 
D) Take frequent naps during the day.

Question 5

A patient who takes multiple medications develops acute gouty arthritis. The nurse will consult with the health care provider before giving the prescribed dose of

Accepted Answer

A) sertraline (Zoloft). 
B) famotidine (Pepcid). 
C) hydrochlorothiazide. 
D) oxycodone (Roxicodone). 
A) sertraline (Zoloft). 
B) famotidine (Pepcid). 
C) hydrochlorothiazide. 
D) oxycodone (Roxicodone).

Question 6

The nurse suggests that a patient recently diagnosed with rheumatoid arthritis (RA)plan to start each day with

Accepted Answer

A) a brief routine of isometric exercises. 
B) a warm bath followed by a short rest. 
C) active range-of-motion (ROM) exercises. 
D) stretching exercises to relieve joint stiffness. 
A) a brief routine of isometric exercises. 
B) a warm bath followed by a short rest. 
C) active range-of-motion (ROM) exercises. 
D) stretching exercises to relieve joint stiffness.

Question 7

A patient hospitalized with a fever and red,hot,painful knees is suspected of having septic arthritis. Information obtained during the nursing history that indicates a risk factor for septic arthritis is that the patient

Accepted Answer

A) had several knee injuries as a teenager. 
B) recently returned from South America. 
C) is sexually active with multiple partners. 
D) has a parent who has rheumatoid arthritis. 
A) had several knee injuries as a teenager. 
B) recently returned from South America. 
C) is sexually active with multiple partners. 
D) has a parent who has rheumatoid arthritis.

Exam 64: Arthritis and Connective Tissue Diseases

The nurse teaching a support group of women with rheumatoid arthritis (RA)about how to manage activities of daily living suggests they should

A patient has scleroderma manifested by CREST (calcinosis,Raynaud's phenomenon,esophageal dysfunction,sclerodactyly,and telangiectasia)syndrome. Which action will the nurse include in the plan of care?

A patient with rheumatoid arthritis (RA)complains to the clinic nurse about having chronically dry eyes. Which action by the nurse is appropriate?

Which information will the nurse include when teaching a patient with newly diagnosed ankylosing spondylitis (AS)about management of the condition?

A patient who takes multiple medications develops acute gouty arthritis. The nurse will consult with the health care provider before giving the prescribed dose of

The nurse suggests that a patient recently diagnosed with rheumatoid arthritis (RA)plan to start each day with

A patient hospitalized with a fever and red,hot,painful knees is suspected of having septic arthritis. Information obtained during the nursing history that indicates a risk factor for septic arthritis is that the patient

Professional Nursing Practice

Health Disparities and Culturally Competent Care

Health History and Physical Examination

Patient and Caregiver Teaching

Chronic Illness and Older Adults

Stress and Stress Management

Sleep and Sleep Disorders

Pain

Palliative Care at End of Life

Substance Use Disorders

Inflammation and Wound Healing

Genetics and Genomics

Altered Immune Responses and Transplantation

Infection and Human Immunodeficiency Virus Infection

Cancer

Fluid, electrolyte, and Acid-Base Imbalances

Preoperative Care

Intraoperative Care

Postoperative Care

Assessment of Visual and Auditory Systems

Visual and Auditory Problems

Assessment of Integumentary System

Integumentary Problems

Burns

Assessment of Respiratory System

Upper Respiratory Problems

Lower Respiratory Problems

Obstructive Pulmonary Diseases

Assessment of Hematologic System

Hematologic Problems

Assessment of Cardiovascular System

Hypertension

Coronary Artery Disease and Acute Coronary Syndrome

Heart Failure

Dysrhythmias

Inflammatory and Structural Heart Disorders

Vascular Disorders

Assessment of Gastrointestinal System

Nutritional Problems

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Upper Gastrointestinal Problems

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Liver, pancreas, and Biliary Tract Problems

Assessment of Urinary System

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Acute Kidney Injury and Chronic Kidney Disease

Assessment of Endocrine System

Diabetes Mellitus

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Assessment of Reproductive System

Breast Disorders

Sexually Transmitted Infections

Female Reproductive and Genital Problems

Male Reproductive and Genital Problems

Assessment of Nervous System

Acute Intracranial Problems

Stroke

Chronic Neurologic Problems

Dementia and Delirium

Spinal Cord and Peripheral Nerve Problems

Assessment of Musculoskeletal System

Musculoskeletal Trauma and Orthopedic Surgery

Musculoskeletal Problems

Critical Care

Shock, sepsis, and Multiple Organ Dysfunction Syndrome

Acute Respiratory Failure and Acute Respiratory Distress Syndrome

Emergency and Disaster Nursing

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