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N450 PrepU CH 38 Rheumatic Disorders-Questions with Correct Answers/Verified/ Latest Update 2024/2025 $10.49   Add to cart

Exam (elaborations)

N450 PrepU CH 38 Rheumatic Disorders-Questions with Correct Answers/Verified/ Latest Update 2024/2025

  • Course
  • N450
  • Institution
  • N450

Fibromyalgia is a common condition that involves -️️chronic fatigue, generalized muscle aching, and stiffness Fibromyalgia is a common condition that involves chronic fatigue, generalized muscle aching, and stiffness. The cause is unknown, and no pathological characteristics specific for the...

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  • August 2, 2024
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  • 2024/2025
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  • N450
  • N450
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MikeHarris
N450 PrepU CH 38 Rheumatic Disorders-Questions with Correct
Answers/Verified/ Latest Update 2024/2025
Fibromyalgia is a common condition that involves - ✔️✔️chronic fatigue, generalized muscle
aching, and stiffness



Fibromyalgia is a common condition that involves chronic fatigue, generalized muscle aching, and
stiffness. The cause is unknown, and no pathological characteristics specific for the condition have
been identified. Treatment consists of attention to the specific symptoms reported by the client.
NSAIDs may be used to treat the diffuse muscle aching and stiffness. Tricyclic antidepressants are
used to improve or restore normal sleep patterns, and individualized programs of exercise are used
to decrease muscle weakness and discomfort and to improve the general deconditioning that occurs
in these individuals.



A client is experiencing an acute exacerbation of rheumatoid arthritis. What should the nursing
priority be? - ✔️✔️Administering ordered analgesics and monitoring their effects



An acute exacerbation of rheumatoid arthritis can be very painful, and the nurse should make pain
management her priority. Client teaching, skin care, and supplying adaptive devices are important,
but these actions don't not take priority over pain management.



The nurse is reviewing the medication administration record of the client. Which medication would
lead the nurse to suspect that the client is suffering from an acute attack of gout? - ✔️✔️colchicine



Colchicine is prescribed for the treatment of an acute attack of gout.



A client is taking ibuprofen for the treatment of osteoarthritis. What education will the nurse give
the client about the medication? - ✔️✔️Take the medication with food to avoid stomach upset



Ibuprofen is a non-steroidal anti-inflammatory drug. The nurse should advise the patient to take
NSAIDs with food to avoid stomach upset. Ibuprofen is available over the counter, but it still has side
effects. Aspirin is known to cause ringing in the ears, not NSAIDs.



The nurse is providing medication teaching to a client with rheumatoid disease. What common
actions are seen with diclofenac and aspirin? Select all that apply. - ✔️✔️anti-inflammatory

analgesic

antipyretic

, antiplatelet



Rheumatoid medications like aspirin and diclofenac actions are anti-inflammatory, analgesic,
antiplatelet, and antipyretic. Diclofenac has antispasmodic actions but aspirin does not.



The nurse is teaching a client with osteoarthritis about the disease. What is the most important
client focus for disease management? - ✔️✔️strategies for remaining active



The goals of osteoarthritis disease management are to decrease pain and stiffness and improve joint
mobility. Strategies for remaining active are the most important client focus. The detection of
complications, disease-modifying antirheumatic drugs management, and prevention of joint
deformity are considerations, but not the most important priorities for the client.



A client asks the nurse what the difference is between osteoarthritis (OA) and rheumatoid arthritis
(RA). Which response is correct? - ✔️✔️"OA is a noninflammatory joint disease. RA is characterized
by inflamed, swollen joints."



OA is a degenerative arthritis, characterized by the loss of cartilage on the articular surfaces of
weight-bearing joints with spur development. RA is characterized by inflammation of synovial
membranes and surrounding structures. OA may occur in one hip or knee and not the other,
whereas RA commonly affects the same joints bilaterally. RA is more common in women; OA affects
both sexes equally.



A nurse is teaching a client about rheumatoid arthritis. Which statement by the client indicates
understanding of the disease process? - ✔️✔️"It will get better and worse again."



The client demonstrates understanding of rheumatoid arthritis if he expresses that it's an
unpredictable disease characterized by periods of exacerbation and remission. There's no cure for
rheumatoid arthritis, but symptoms can be managed. Surgery may be indicated in some cases.



Rheumatoid arthritis usually: - ✔️✔️Involves smaller joints first (PIP & MCP).



RA targets the PIP, MCP and MTP joints first.



Scleroderma typically starts with which type of organ involvement? - ✔️✔️Skin

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