Lewis Medical Surgical Nursing Chap 69: Arthritis and
Connective Tissue Disorders With Questions And 100% SURE
ANSWERS
Terms in this set (47)
Which finding would the nurse expect when ANS: B Initial symptoms of OA include pain with joint movement. Heberden's nodules occur on
assessing a patient who has osteoarthritis (OA) of the fingers. Redness of the joint is associated with inflammatory arthritis such as rheumatoid
the knee? arthritis. Stiffness in OA is worse right after the patient rests and decreases with joint movement.
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
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,The nurse is assessing a patient with osteoarthritis ANS: B Dark-colored stools may indicate the patient is experiencing gastrointestinal bleeding
who uses naproxen (Naprosyn) for pain caused by the naproxen. The patient's ongoing pain and weight gain will also be reported and
management. Which assessment finding would the may indicate a need for a different treatment and/or counseling about avoiding weight gain, but
nurse recognize as likely to require a change in these are not as large a concern as the possibility of gastrointestinal bleeding. Capsaicin cream is
medication? often used along with oral medications.
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).
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The nurse teaches a patient with osteoarthritis ANS: C No more than 4 g of acetaminophen (1 g every 6 hours) should be taken daily to
(OA) of the hip about how to manage the OA. decrease the risk for liver damage. Regular exercise, moist heat, and supportive equipment are
Which patient statement a need for additional recommended for OA management.
teaching?
a. ―A shower in the morning will help relieve
stiffness.ǁ
b. ―I can exercise every day to help maintain joint
mobility.ǁ
c. ―I will take 1 gram of acetaminophen (Tylenol)
every 4 hours.ǁ
d. ―I can use a cane to decrease the pressure
and pain in my hip joint.ǁ
The nurse would anticipate the need to teach a ANS: C Capsaicin cream blocks the transmission of pain impulses and is helpful for some patients
patient who has osteoarthritis (OA) about which in treating OA. The other medications would be used for patients with rheumatoid arthritis.
medication?
a. Prednisone
b. Adalimumab (Humira)
c. Capsaicin cream (Zostrix)
d. Sulfasalazine (Azulfidine)
A patient being seen in the clinic has rheumatoid ANS: C Rheumatoid nodules can break down or become infected. They are not associated with
nodules on the elbows. Which action would the changes in rheumatoid factor, and injection is not needed. Rheumatoid nodules are usually not
nurse take? removed surgically because of a high probability of recurrence.
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.
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