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Chapter 64: Arthritis and Connective Tissue Diseases Lewis: Medical-Surgical Nursing, 10th Edition Exam Practice Questions and Answers $12.49   Add to cart
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Chapter 64: Arthritis and Connective Tissue Diseases Lewis: Medical-Surgical Nursing, 10th Edition Exam Practice Questions and Answers
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©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 10/40 b. a warm bath followed by a short rest. c. active range-of-motion (ROM) exercises. d. stretching exercises to relieve joint stiffness. - Ans:-ANS: B Taking a warm shower or bath is recommended to...

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  • October 23, 2024
  • 40
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • chapter 64 arthritis and connective tissue diseas

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  • Lewis Medical-Surgical Nursing
  • Lewis Medical-Surgical Nursing

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©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




Chapter 64: Arthritis and Connective
Tissue Diseases Lewis: Medical-Surgical
Nursing, 10th Edition Exam Practice
Questions and Answers

Which finding will 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 - Ans:✔✔-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.

Page 1/40

, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




DIF: Cognitive Level: Understand (comprehension) REF: 1518


TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity


Which assessment finding for a patient using naproxen (Naprosyn) to treat osteoarthritis is


likely to require a change in medication?


a. The patient has gained 3 lb.


b. The patient has dark-colored stools.


c. The patient's pain affects multiple joints.


d. The patient uses capsaicin cream (Zostrix). - Ans:✔✔-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. Use of capsaicin


cream with oral medications is appropriate.


DIF: Cognitive Level: Apply (application) REF: 1521




Page 2/40

, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity


After the nurse has finished teaching a patient with osteoarthritis (OA) of the right hip about


how to manage the OA, which patient statement indicates a need for more teaching?


a. "I can exercise every day to help maintain joint motion."


b. "I will take 1 g of acetaminophen (Tylenol) every 4 hours."


c. "I will take a shower in the morning to help relieve stiffness."


d. "I can use a cane to decrease the pressure and pain in my hip." - Ans:✔✔-ANS: B


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.




DIF: Cognitive Level: Apply (application) REF: 1523


TOP: Nursing Process: Evaluation MSC: NCLEX: Physiological Integrity


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




Page 3/40

, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




medication?


a. Prednisone


b. Adalimumab (Humira)


c. Capsaicin cream (Zostrix)


d. Sulfasalazine (Azulfidine) - Ans:✔✔-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.


DIF: Cognitive Level: Apply (application) REF: 1520


TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity


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




Page 4/40

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