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Chapter 64: Arthritis and Connective Tissue Diseases Lewis: Medical-Surgical Nursing, 10th Edition QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES 2025/2026 (VERIFIED ANSWERS) |ALREADY GRADED A+ $12.99   Add to cart
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Chapter 64: Arthritis and Connective Tissue Diseases Lewis: Medical-Surgical Nursing, 10th Edition QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES 2025/2026 (VERIFIED ANSWERS) |ALREADY GRADED A+
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Chapter 64: Arthritis and Connective Tissue Diseases Lewis: Medical-Surgical Nursing, 10th Edition QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES 2025/2026 (VERIFIED ANSWERS) |ALREADY GRADED A+

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  • November 15, 2024
  • 16
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • lewis medical surgical nursing 12th
  • a 25 12 months antique woman patient with systemic
  • expresses social isolation due to embarrassment ab

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

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Chapter 64: Arthritis and Connective
Tissue Diseases Lewis: Medical-Surgical
Nursing, 10th Edition

A 25-12 months-antique woman patient with systemic lupus erythematosus (SLE) who has a
facial rash
and alopecia tells the nurse, "I by no means leave my house due to the fact I hate the manner I
appearance." The nurse
will plan interventions with the affected person to cope with the nursing analysis of
a. Social isolation. C. Impaired pores and skin integrity.
B. Pastime intolerance. D. Impaired social interplay. - ANS-ANS: A
The patient's declaration about not going anywhere because of hating the manner he or she
appears
expresses social isolation due to embarrassment about the consequences of the SLE. Activity
intolerance is a probable problem for sufferers with SLE, but the records about this patient
does no longer help this. The rash with SLE is nonpruritic. There is not any evidence of lack of
social
capabilities for this affected person.
DIF: Cognitive Level: Apply (utility) REF: 1542
TOP: Nursing Process: Planning MSC: NCLEX: Psychosocial Integrity
A 29-12 months-vintage lady is taking methotrexate to treat rheumatoid arthritis. Which statistics
from the affected person's fitness records is crucial for the nurse to report to the fitness care
issuer associated with the methotrexate?
A. The affected person had a records of infectious mononucleosis as a teenager.
B. The patient is trying to get pregnant earlier than her disease will become more intense.
C. The affected person has a family history of age-associated macular degeneration of the
retina.
D. The affected person has been using large doses of vitamins and health ingredients to deal
with the RA. - ANS-ANS: B
Methotrexate is teratogenic, and the patient have to be taking contraceptives at some point of
methotrexate therapy. The other records will no longer effect the selection of methotrexate as
therapy.
DIF: Cognitive Level: Apply (application) REF: 1528
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
A new hospital affected person with joint swelling and pain is being tested for systemic lupus
erythematosus. Which take a look at will provide the most particular findings for the nurse to
check?
A. Rheumatoid aspect (RF)

,b. Antinuclear antibody (ANA)
c. Anti-Smith antibody (Anti-Sm)
d. Lupus erythematosus (LE) cell prep - ANS-ANS: C
The anti-Sm is antibody discovered nearly completely in SLE. The other blood tests are also
used
in screening however aren't as particular to SLE.
DIF: Cognitive Level: Apply (application) REF: 1540
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
A affected person being visible within the hospital has rheumatoid nodules at the elbows. Which
motion will the
nurse take?
A. Draw blood for rheumatoid aspect evaluation.
B. Teach the affected person approximately injections for the nodules.
C. Assess the nodules for pores and skin breakdown or contamination.
D. Discuss the need for surgical removal of the nodules. - ANS-ANS: C
Rheumatoid nodules can smash down or end up inflamed. They aren't associated with
modifications in rheumatoid aspect, and injection isn't wished. Rheumatoid nodules are normally
now not
eliminated surgically because of a excessive possibility of recurrence.
DIF: Cognitive Level: Apply (utility) REF: 1527
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity
A patient has scleroderma manifested via CREST (calcinosis, Raynaud's phenomenon,
esophageal disorder, sclerodactyly, and telangiectasia) syndrome. Which action will the
nurse include inside the plan of care?
A. Avoid use of capsaicin cream on arms.
B. Keep the surroundings warm and draft free.
C. Obtain capillary blood glucose earlier than meals.
D. Assist to bathroom each 2 hours while unsleeping. - ANS-ANS: B
Keeping the room warm will decrease the occurrence of Raynaud's phenomenon, one factor of
the CREST syndrome. Capsaicin cream can be used to improve move and decrease
pain. There is not any need to obtain blood glucose or to help the patient to the bathroom each
2
hours.
DIF: Cognitive Level: Apply (utility) REF: 1544
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
A affected person hospitalized with a fever and purple, hot, painful knees is suspected of having
septic
arthritis. Information obtained in the course of the nursing records that suggests a chance
element for septic
arthritis is that the affected person
a. Had several knee accidents as a teen.
B. Lately back from South America.
C. Is sexually active with multiple partners.
D. Has a figure who has rheumatoid arthritis. - ANS-ANS: C

, Neisseria gonorrhoeae is the most not unusual motive for septic arthritis in sexually energetic
younger
adults. The other data does now not factor to any danger for septic arthritis.
DIF: Cognitive Level: Understand (comprehension) REF: 1535
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
A patient hospitalized with polymyositis has joint ache; erythematous facial rash; eyelid
edema; and a susceptible, hoarse voice. The protection priority for the affected person is
addressing the
a. Acute ache. C. Disturbed visual notion.
B. Chance for aspiration. D. Risk for impaired skin integrity. - ANS-ANS: B

The patient's vocal weak spot and hoarseness imply weakness of the pharyngeal muscular
tissues
and a excessive danger for aspiration. The different concerns are also suitable but aren't as
high a
priority because the preservation of the patient's airway.
DIF: Cognitive Level: Analyze (analysis) REF: 1545
OBJ: Special Questions: Prioritization TOP: Nursing Process: Planning
MSC: NCLEX: Physiological Integrity
A affected person reporting painful urination and knee pain is recognized with reactive arthritis.
The
nurse will plan to educate the affected person about the need for numerous months of remedy
with

a. Methotrexate
b. Anakinra (Kineret).
C. Etanercept (Enbrel).
D. Doxycycline (Vibramycin). - ANS-ANS: D
Reactive arthritis associated with urethritis is generally caused by infection with Chlamydia
trachomatis and requires 3 months of remedy with doxycycline. The other medicines are
used for persistent inflammatory troubles together with rheumatoid arthritis.
DIF: Cognitive Level: Apply (application) REF: 1538
TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity
A affected person who had arthroscopic surgical treatment of the proper knee 7 days in the past
is admitted with a purple,
swollen, hot knee. Which assessment locating via the nurse ought to be reported to the health
care issuer without delay?
A. The blood pressure is 86/50 mm Hg.
B. The patient says the knee pain is extreme.
C. The white blood mobile depend is eleven,500/μL.
D. The affected person is taking ibuprofen (Motrin). - ANS-ANS: A
The low blood strain shows the patient may be developing septicemia as a hardship
of septic arthritis. Immediate blood cultures and initiation of antibiotic remedy are indicated.

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