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Lewis Medical Surgical Nursing Chap 69: Arthritis and Connective Tissue Disorders Exam Questions and Answers $12.49   Add to cart

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

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Lewis Medical Surgical Nursing Chap 69: Arthritis and Connective Tissue Disorders Exam Questions and 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 a...

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  • October 23, 2024
  • 26
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Lewis Medical Surgical Nursing
  • Lewis Medical Surgical Nursing
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Lewis Medical Surgical Nursing Chap 69: Arthritis
and Connective Tissue Disorders Exam Questions and
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 - 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.


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.



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FIRST PUBLISH OCTOBER 2024




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. 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.‖ - Ans:✔✔-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?



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FIRST PUBLISH OCTOBER 2024




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.


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. - Ans:✔✔-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)?

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