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Lewis Medical Surgical Nursing Chap 69: Arthritis and Connective Tissue Disorders. Exam Questions And Correct Answers $11.49   Add to cart

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Lewis Medical Surgical Nursing Chap 69: Arthritis and Connective Tissue Disorders. Exam Questions And Correct Answers

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Lewis Medical Surgical Nursing Chap 69: Arthritis and Connective Tissue Disorders. Exam Questions And Correct Answers Which finding would the nurse expect when assessing a patient who has osteoarthritis (OA) of the knee? a. Presence of Heberden's nodules b. Discomfort with joint movement c. ...

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  • October 18, 2024
  • 25
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Medical Surgical nursing
  • Medical Surgical nursing
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sirjoel
©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM


Lewis Medical Surgical Nursing Chap 69:
Arthritis and Connective Tissue Disorders.
Exam Questions And Correct Answers


Which finding would the nurse expect when assessing a patient who has osteoarthritis (OA) of

the knee?

a. Presence of Heberden's nodules

b. Discomfort with joint movement

c. Redness and swelling of the knee joint


d. Stiffness that increases with movement - answer✔ANS: B Initial symptoms of OA include

pain with joint movement. Heberden's nodules occur on the fingers. Redness of the joint is

associated with inflammatory arthritis such as rheumatoid arthritis. Stiffness in OA is worse right

after the patient rests and decreases with joint movement.

The nurse is assessing a patient with osteoarthritis who uses naproxen (Naprosyn) for pain

management. Which assessment finding would the nurse recognize as likely to require a change

in medication?

a. The patient has gained 3 pounds.

b. The patient has dark-colored stools.

, ©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM
c. The patient's pain affects multiple joints.


d. The patient uses capsaicin cream (Zostrix). - answer✔ANS: B Dark-colored stools may

indicate the patient is experiencing gastrointestinal bleeding caused by the naproxen. The

patient's ongoing pain and weight gain will also be reported and may indicate a need for a

different treatment and/or counseling about avoiding weight gain, but these are not as large a

concern as the possibility of gastrointestinal bleeding. Capsaicin cream is often used along with

oral medications.

The nurse teaches a patient with osteoarthritis (OA) of the hip about how to manage the OA.

Which patient statement a need for additional teaching?

a. ―A shower in the morning will help relieve stiffness.‖

b. ―I can exercise every day to help maintain joint mobility.‖

c. ―I will take 1 gram of acetaminophen (Tylenol) every 4 hours.‖


d. ―I can use a cane to decrease the pressure and pain in my hip joint.‖ - answer✔ANS: C No

more than 4 g of acetaminophen (1 g every 6 hours) should be taken daily to decrease the risk for

liver damage. Regular exercise, moist heat, and supportive equipment are recommended for OA

management.

The nurse would anticipate the need to teach a patient who has osteoarthritis (OA) about which

medication?

a. Prednisone

, ©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM
b. Adalimumab (Humira)

c. Capsaicin cream (Zostrix)


d. Sulfasalazine (Azulfidine) - answer✔ANS: C Capsaicin cream blocks the transmission of pain

impulses and is helpful for some patients in treating OA. The other medications would be used

for patients with rheumatoid arthritis.

A patient being seen in the clinic has rheumatoid nodules on the elbows. Which action would the

nurse take?

a. Draw blood for rheumatoid factor analysis.

b. Teach the patient about injections for the nodules.

c. Assess the nodules for skin breakdown or infection.


d. Discuss the need for surgical removal of the nodules. - answer✔ANS: C Rheumatoid nodules

can break down or become infected. They are not associated with changes in rheumatoid factor,

and injection is not needed. Rheumatoid nodules are usually not removed surgically because of a

high probability of recurrence.

Which action would the nurse include in the plan of care for a patient with a new diagnosis of

rheumatoid arthritis (RA)?

a. Instruct the patient to purchase a soft mattress.

b. Teach the patient to use cool water when bathing.

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