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Arthritis and Connective Tissue Disease
Terms in this set (25)
The nurse is admitting a patient who is scheduled for knee arthroscopy related to osteoarthritis (OA). Which finding should the nurse expect to be present on examination of the patient's knees?
Pain with joint movement
Which stage of rheumatoid arthritis is characterized by extensive muscle atrophy and joint deformities such as subluxation?
A nurse is working with a 73-year-old patient with osteoarthritis (OA). In assessing the patient's understanding of this disorder, the nurse concludes teaching has been effective when the patient uses which description of the condition?
Degeneration of articular cartilage in synovial joints
What would the nurse plan as an appropriate short-term goal for a patient with degenerative joint disease (DJD)?
The patient will participate in physical therapy activities
A patient has just been given a diagnosis of osteoarthritis. The nurse explains that the associated changes in the joint are the result of what type of process?
The nurse is caring for a 73-year-old male patient with osteoarthritis. The nurse concludes the patient has accurate knowledge when the patient describes the condition as:
Degeneration of cartilage in synovial joints
The primary health care provider asks the nurse to prepare a patient for serum analysis of uric acid levels. Which condition does the nurse anticipate in the patient?
A patient with osteoarthritis has been prescribed treatment with celecoxib (Celebrex). What is the reason to justify this medical intervention?
The patient does not tolerate traditional nonsteroidal antiinflammatory agents (NSAIDs).
An 86-year-old patient has osteoarthritis of the knees. Which finding would the nurse expect upon examination of the patient's knees?
Pain with joint movement
The patient developed gout while hospitalized for a heart attack. When doing discharge teaching for this patient who takes aspirin for its antiplatelet effect, what should the nurse include about preventing future attacks of gout?
Administration of allopurinol (Zyloprim)
The nurse cares for a patient who has systemic lupus erythematosus. To prevent an exacerbation of the condition, what should the nurse instruct the patient to avoid?
A nurse caring for a patient with osteoarthritis instructs the patient about the various nonpharmaceutical interventions for the management of pain. Which information should the nurse include in these instructions? Select all that apply.
Regulation of a normal body mass index (BMI)
Use of paraffin baths or hot packs
Use of crutches or walker if required
The nurse recognizes that early treatment of Lyme disease is important in preventing which complication that occurs late in the disease?
A postoperative knee replacement patient with a history of osteoarthritis (OA) is admitted to the orthopedic unit. The nurse knows that:
Inflammation is not characteristic with OA.
Which measures reduce the risk of osteoarthritis in a patient? Select all that apply.
Avoiding bending the knee past 90 degrees
Avoiding forceful, repetitive movements
An older adult patient is receiving corticosteroid therapy for rheumatoid arthritis. What is the major concern in adopting this line of treatment?
A nurse is reviewing subjective and objective data from the examination of a patient with rheumatoid arthritis. Which assessment findings indicate rheumatoid arthritis? Select all that apply.
High white blood cell (WBC) count
What are the clinical manifestations of scleroderma? Select all that apply.
A patient with systemic lupus erythematosus (SLE) confronts many psychosocial issues. How should the nurse counsel the patient to help overcome this problem? Select all that apply.
Counsel the patient that the disease has a good prognosis.
Advise a consultation with a dermatologist.
Stress the planning of both recreational and occupational activities.
A nurse assesses a 38-year-old patient with joint pain and stiffness who was diagnosed with Stage III rheumatoid arthritis (RA). What characteristics should the nurse expect to observe?
Subluxation of joints without fibrous ankylosis
Which patient statement most clearly suggests a need to assess the patient for ankylosing spondylitis (AS)?
"My lower back pain seems to be getting worse all the time and nothing seems to help."
A patient has osteoarthritis of the knees. What finding would the nurse expect on examination of the patient's knees?
Crepitus upon movement of knee joints
The nurse is planning interventions for a patient recently diagnosed with rheumatoid arthritis (RA). In which order should the nurse perform the following actions? Please place the options in order of importance.
1. Perform a careful physical assessment
2. Evaluate psychosocial needs and environmental concerns
3. Educate about pharmacological interventions
4. Coordinate a carefully planned program for rehabilitation and education
A patient has a low-grade fever, conjunctivitis, and arthritic pain in the long joints, which is asymmetric. The patient informs the nurse that he had a genitourinary infection in the recent past. What is the patient most likely suffering from?
A nurse is teaching a group of patients with arthritis about the ways to protect the small joints from injury. What are the instructions that the nurse should include? Select all that apply.
Maintain the joint in a neutral position.
Use strongest joints available for any task.
Slide objects instead of lifting them.
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