100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
LEWIS MEDICAL SURGICAL NURSING CHAP 69: ARTHRITIS AND CONNECTIVE TISSUE DISORDERS QUESTIONS AND ANSWERS WITH SOLUTIONS 2024 $12.99   Add to cart
Quickly navigate to
Preview
  2.  
  3. Lewis Medical Surgical Nursing 12TH
  4.  
  5. Lewis Medical Surgical Nursing 12TH

Exam (elaborations)

LEWIS MEDICAL SURGICAL NURSING CHAP 69: ARTHRITIS AND CONNECTIVE TISSUE DISORDERS QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
 7 views  0 purchase
  • Course
  • Lewis Medical Surgical Nursing 12TH
  • Institution
  • Lewis Medical Surgical Nursing 12TH

LEWIS MEDICAL SURGICAL NURSING CHAP 69: ARTHRITIS AND CONNECTIVE TISSUE DISORDERS QUESTIONS AND ANSWERS WITH SOLUTIONS 2024

Preview 2 out of 15  pages

Document information

  • August 31, 2024
  • 15
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • lewis medical surgical nursing chap 69 arthritis

Written for

  • Lewis Medical Surgical Nursing 12TH
  • Lewis Medical Surgical Nursing 12TH

Seller

avatar-seller
Performance

Reviews received

Content preview

LEWIS MEDICAL SURGICAL NURSING
CHAP 69: ARTHRITIS AND
CONNECTIVE TISSUE DISORDERS
QUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
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.

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

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.

c. Encourage the patient to take a nap in the afternoon.

d. Suggest exercise with light weights several times daily. - ANSWER ANS: C Adequate rest helps decrease
the fatigue and pain associated with RA. Patients are taught to avoid stressing joints, use warm baths to
relieve stiffness, and use a firm mattress. When the disease is stabilized, a physical therapist usually
develops a therapeutic exercise program that includes exercises that improve flexibility and strength of
affected joints, as well as the patient's general endurance

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller Performance. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $12.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

72349 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$12.99
  • (0)
  Add to cart