Nur 242 Exam 6 Prep Questions And
Answers All Solved Correct.
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? - 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)? - 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? - 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? - 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? - 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 - 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? - 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? - 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 - 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? - 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? - 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? - 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? - 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? - Answer Pain
Answers All Solved Correct.
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? - 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)? - 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? - 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? - 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? - 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 - 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? - 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? - 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 - 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? - 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? - 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? - 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? - 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? - Answer Pain
