Question 1

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?

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. B

Question 2

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?

Accepted Answer

A)   Rheumatoid factor (RF) 
B)   Antinuclear antibody (AN
A)  
C)   Anti-Smith antibody (Anti-Sm) 
D)   Lupus erythematosus (L
E)   cell prep

Question 3

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?

Accepted Answer

A)   The blood pressure is 86/50 mm Hg.
B)   The white blood cell count is 11,500/µL.
C)   The patient is taking ibuprofen (Motrin) .
D)   The patient says the knee pain is severe.

Question 4

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?

Accepted Answer

A)   The patient sleeps about 8 to 10 hours every night.
B)   The patient usually eats beef once or twice a week.
C)   The patient takes one aspirin a day to prevent angina.
D)   The patient usually drinks about 3 quarts water daily.

Question 5

A 29-year-old patient reporting painful urination and knee pain is diagnosed with reactive arthritis.The nurse will plan to teach the patient about the need for several months of therapy with

Accepted Answer

A)   anakinra (Kineret) .
B)   etanercept (Enbrel) .
C)   doxycycline (Vibramycin) .
D)   methotrexate (Rheumatrex) .

Question 6

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?

Accepted Answer

A)   Crackles are heard in both lung bases.
B)   Red, scaly patches are noted on the arms.
C)   Hemoglobin level is 11.1g/dL and hematocrit is 35%.
D)   Patient reports continued back pain after a week of etanercept therapy.

Question 7

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?

Accepted Answer

A)   The blood glucose is 112 mg/dL.
B)   The patient has painful hematuria.
C)   Acne is noted on the patient's face.
D)   The patient has an increased appetite.

Question 8

Which statement by a patient with systemic lupus erythematosus (SLE) indicates that the patient has understood the nurse's teaching about the condition?

Accepted Answer

A)   "I will exercise even if I am tired."
B)   "I will use sunscreen when I am outside."
C)   "I should take birth control pills to keep from getting pregnant."
D)   "I should avoid aspirin or nonsteroidal antiinflammatory drugs." B

Question 9

A 25-year-old female patient with systemic lupus erythematosus (SLE) who has a facial rash and alopecia tells the nurse,"I never leave my house because I hate the way I look." An appropriate nursing diagnosis for the patient is

Accepted Answer

A)   activity intolerance related to fatigue and inactivity.
B)   impaired social interaction related to lack of social skills.
C)   impaired skin integrity related to itching and skin sloughing.
D)   social isolation related to embarrassment about the effects of SLE.

Question 10

Which result for a 30-year-old patient with systemic lupus erythematosus (SLE) is most important for the nurse to communicate to the health care provider?

Accepted Answer

A)   Decreased C-reactive protein (CRP) 
B)   Elevated blood urea nitrogen (BUN) 
C)   Positive antinuclear antibodies (AN
A)  
D)   Positive lupus erythematosus cell prep

Question 11

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

Accepted Answer

A)   Discomfort with joint movement
B)   Heberden's and Bouchard's nodes
C)   Redness and swelling of the knee joint
D)   Stiffness that increases with movement A

Question 12

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?

Accepted Answer

A)   The patient takes a 2-hour nap each day.
B)   The patient has been taking 16 aspirins daily.
C)   The patient sits on a stool while preparing meals.
D)   The patient sleeps with two pillows under the head.

Question 13

Which laboratory result will the nurse monitor to determine whether prednisone (Deltasone) has been effective for a 30-year-old patient with an acute exacerbation of rheumatoid arthritis?

Accepted Answer

A)   Blood glucose test
B)   Liver function tests
C)   C-reactive protein level
D)   Serum electrolyte levels

Question 14

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

Accepted Answer

A)   "Paraffin baths can be used to help my hands."
B)   "I should lie down for an hour after each meal."
C)   "Lotions will help if I rub them in for a long time."
D)   "I should perform range-of-motion exercises daily."

Question 15

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

Accepted Answer

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

Question 16

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?

Accepted Answer

A)   Monitor for difficulty in breathing.
B)   Document the patient's oral intake.
C)   Check finger strength and movement.
D)   Apply capsaicin (Zostrix)  cream to hands.

Question 17

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?

Accepted Answer

A)   Palpate the abdomen.
B)   Auscultate the heart sounds.
C)   Ask the patient about recent outdoor activities.
D)   Question the patient about immunization history.

Question 18

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

Accepted Answer

A)   Teach the patient about adverse effects of the RA medications.
B)   Suggest that the patient use over-the-counter (OT
C)   artificial tears.
C)   Reassure the patient that dry eyes are a common problem with RA.
D)   Ask the health care provider about discontinuing methotrexate (Rheumatrex)  .

Question 19

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) ?

Accepted Answer

A)   The patient has joint pain and stiffness.
B)   The patient's blood glucose is 165 mg/dL.
C)   The patient has experienced a recent 5-pound weight loss.
D)   The patient's erythrocyte sedimentation rate (ESR)  has increased.

Question 20

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?

Accepted Answer

A)   Gently palpate the toe to assess swelling.
B)   Use pillows to keep the right foot elevated.
C)   Use a footboard to hold bedding away from the toe.
D)   Teach patient to avoid use of acetaminophen (Tylenol) .

Exam 65: Nursing Management: Arthritis and Connective Tissue Diseases

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?

Correct AnswerverifiedB

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?

Correct AnswerverifiedShow Answer

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?

Correct AnswerverifiedShow Answer

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?

Correct AnswerverifiedShow Answer

A 29-year-old patient reporting painful urination and knee pain is diagnosed with reactive arthritis.The nurse will plan to teach the patient about the need for several months of therapy with

Correct AnswerverifiedShow Answer

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?

Correct AnswerverifiedShow Answer

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?

Correct AnswerverifiedShow Answer

Which statement by a patient with systemic lupus erythematosus (SLE) indicates that the patient has understood the nurse's teaching about the condition?

Correct AnswerverifiedB

A 25-year-old female patient with systemic lupus erythematosus (SLE) who has a facial rash and alopecia tells the nurse,"I never leave my house because I hate the way I look." An appropriate nursing diagnosis for the patient is

Correct AnswerverifiedShow Answer

Which result for a 30-year-old patient with systemic lupus erythematosus (SLE) is most important for the nurse to communicate to the health care provider?

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedA

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?

Correct AnswerverifiedShow Answer

Which laboratory result will the nurse monitor to determine whether prednisone (Deltasone) has been effective for a 30-year-old patient with an acute exacerbation of rheumatoid arthritis?

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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?

Correct AnswerverifiedShow Answer

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?

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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) ?

Correct AnswerverifiedShow Answer

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?

Correct AnswerverifiedShow Answer

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