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Nur 242 exam 6 Galen College Of Nursing -Question and answers already passed

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Nur 242 exam 6 Galen College Of Nursing -Question and answers already passed Nur 242 exam 6 On reviewing the x-ray report of a client with rheumatoid arthritis, the nurse learns that three small joints are involved. Which score will the nurse assign the client for joint involvement? - correct ...

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  • October 22, 2024
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  • 2024/2025
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Nur 242 exam 6
On reviewing the x-ray report of a client with rheumatoid arthritis, the nurse
learns that three small joints are involved. Which score will the nurse assign
the client for joint involvement? - correct answer ✔2. According to the
diagnostic criteria for rheumatoid arthritis, involvement of one to three small
joints (with or without large-joint involvement) is given a score of 2.
Involvement of two to 10 large joints is given a score of 1. Involvement of four
to 10 small joints (with or without large-joint involvement) is given a score of 3.
Involvement of more than 10 joints (and at least one small joint) is given a
score of 5.


Which surgery is used as a prophylactic measure and as a palliative treatment
for clients with rheumatoid arthritis (RA)? - correct answer ✔Synovectomy


The nurse is coordinating care for a client with severe rheumatoid arthritis.
Which health team perspective for planning care would promote the client's
self-reliance and independence? - correct answer ✔Developing a positive
attitude toward the eventual outcome


The nurse develops a teaching plan for a client with rheumatoid arthritis.
Which information would the nurse include in the plan about ways to reduce
joint stress? - correct answer ✔If experiencing pain after 1 to 2 hours of
activity, actively take measures to address the pain.


Which client has findings consistent with rheumatoid arthritis? - correct
answer ✔ESR 65 mm/hour (Erythrocyte sedimentation rate (ESR) is a
nonspecific index of inflammation. Its normal value is less than 30 mm/hr.
Client D, who has elevated levels of ESR to 65 mm/hr, may present with
rheumatoid arthritis, osteomyelitis, rheumatic fever, or respiratory tract
infections)

,client admitted to the hospital with an acute episode of rheumatoid arthritis
(RA) asks why physical therapy has not been prescribed. Which response
would the nurse make - correct answer ✔Your joints are still inflamed, and
physical therapy can be harmful


Which finding would the nurse expect to identify in a client who has
osteoarthritis that would not be present in clients with rheumatoid arthritis? -
correct answer ✔Heberden nodes (Heberden nodules are the bony or
cartilaginous enlargements of the distal interphalangeal joints that are
associated with osteoarthritis. Ulnar drift, swan-neck deformity, and
boutonnière deformity occur with rheumatoid arthritis)


A client with rheumatoid arthritis arrives in the clinic stating, "I don't take any
medications because they are too expensive." The client reports that family
members are arranging for the medications to be obtained from another
country. Which action would the nurse take first? - correct answer ✔Discuss
alternative solutions with the client


A client who has rheumatoid arthritis reports that pain with exercising has
increased. Which suggestion would the nurse provide to the client to decrease
pain? I'm - correct answer ✔Decrease the number of repetitions of the
exercises (Exercise should be performed to tolerance only; limiting the
amount of exercise should decrease pain. To relax the joints, the client should
take a hot shower versus a tub bath. Furthermore, it will be difficult for a client
with stiff joints to get into a typical bathtub. Ice should never be placed against
the skin without a layer of protection; further damage or frostbite could occur.
Ceasing exercise for a day will increase stiffness)


A client who has rheumatoid arthritis participates in an individualized exercise
program at the extended care facility where the client resides. Which
statement from the client indicates to the nurse that the client understands the
purpose of the program? - correct answer ✔I do one set of exercises slowly
after breakfast, then I space the rest of them throughout the day. ( spacing
activity protects joints)

, The nurse is providing discharge teaching to a client who was hospitalized for
exacerbation of rheumatoid arthritis. Which statement by the client indicates
correct understanding of the treatment plan? - correct answer ✔I will reduce
the number of exercise repetitions when I have pain.


A regimen of rest, exercise, and physical therapy is prescribed for a client with
rheumatoid arthritis. Which purpose of the regimen would the nurse teach to
the client? - correct answer ✔Preventing additional joint damage


A nurse is creating a plan of care for a client with rheumatoid arthritis who has
severe pain and swelling of the hand joints. Which details about range-of-
motion exercises would the plan include? - correct answer ✔Applying heat or
cold before the exercises


Which outcome is likely if direct pressure is applied to the joints of a client who
has an acute episode of rheumatoid arthritis? - correct answer ✔Pain


An older client is admitted to a nursing home. The client is incontinent of urine.
The client's rheumatoid arthritis contributes to severely painful joints. Which
client need would the nurse identify as the primary consideration in the care of
this client? - correct answer ✔Relief of pain


A client with severe chronic rheumatoid arthritis reports that pain lasts for 2 to
3 hours after exercising. Which information would the nurse teach the client? -
correct answer ✔Decrease the time and number of exercise repetitions


Which intervention would the nurse teach the client who has rheumatoid
arthritis to alternate with periods of rest? - correct answer ✔Active exercises

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