Exam 61: Nursing Management: Arthritis and Connective Tissue Diseases

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The home health nurse is doing a follow-up visit to a 41-year-old patient with recently diagnosed rheumatoid arthritis (RA).Which assessment made by the nurse indicates that more patient teaching is needed?

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The nurse determines that additional instruction is needed when a patient diagnosed with scleroderma says which of the following?

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A 46-year-old male patient with dermatomyositis is receiving long-term prednisone (Deltasone)therapy.Which assessment finding by the nurse is most important to report to the health care provider?

(Multiple Choice)
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A 28-year-old with psoriatic arthritis and back pain is receiving etanercept (Enbrel).Which finding is most important for the nurse to report to the health care provider?

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A patient with an acute attack of gout in the right great toe has a new prescription for probenecid (Benemid).Which information about the patient's home routine indicates a need for teaching regarding gout management?

(Multiple Choice)
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Which information will the nurse include when teaching a 38-year-old male patient with newly diagnosed ankylosing spondylitis (AS)about the management of the condition?

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Which assessment information obtained by the nurse indicates that a patient with an exacerbation of rheumatoid arthritis (RA)is experiencing a side effect of prednisone (Deltasone)?

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The health care provider has prescribed the following collaborative interventions for a patient who is taking azathioprine (Imuran)for systemic lupus erythematosus.Which order will the nurse question?

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Which patient seen by the nurse in the outpatient clinic is most likely to require teaching about ways to reduce risk for osteoarthritis (OA)?

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The nurse notices a circular lesion with a red border and clear center on the arm of an 18-year-old summer camp counselor who is in the camp clinic complaining of chills and muscle aches.Which action should the nurse take next?

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A new clinic patient with joint swelling and pain is being tested for systemic lupus erythematosus.Which test will provide the most specific findings for the nurse to review?

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Which assessment finding about a patient who has been using naproxen (Naprosyn)for 6 weeks to treat osteoarthritis is most important for the nurse to report to the health care provider?

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A patient with gout has a new prescription for losartan (Cozaar)to control the condition.The nurse will plan to monitor

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Which nursing action can the registered nurse (RN)delegate to unlicensed assistive personnel (UAP)who are assisting with the care of a patient with scleroderma?

(Multiple Choice)
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After the nurse has finished teaching a 68-year-old patient with osteoarthritis (OA)of the right hip about how to manage the OA,which patient statement indicates a need for more teaching?

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Which finding will the nurse expect when assessing a 58-year-old patient who has osteoarthritis (OA)of the knee?

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Which action will the nurse include in the plan of care for a 33-year-old patient with a new diagnosis of rheumatoid arthritis?

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A patient who had arthroscopic surgery of the right knee 7 days ago is admitted with a red,swollen,and hot knee.Which assessment finding by the nurse should be reported to the health care provider immediately?

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

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The nurse is planning care for a patient with hypertension and gout who has a red and painful right great toe.Which nursing action will be included in the plan of care?

(Multiple Choice)
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