PT 5

36問 • 1年前

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The nurse suggests that a patient recently diagnosed with rheumatoid arthritis (RA) plan to start each day with

a warm bath followed by a short rest.

Anakinra (Kineret) is prescribed for a patient with rheumatoid arthritis (RA). When teaching the patient about this drug, the nurse will include information about

self-administration of subcutaneous injections.

A patient with two school-age children has recently been diagnosed with rheumatoid arthritis (RA) and tells the nurse that home life is very stressful. Which initial response by the nurse is most appropriate

"Tell me more about the situations that are causing you stress."

Which information will the nurse include when teaching a patient with newly diagnosed ankylosing spondylitis (AS) about management of the condition?

Do daily deep-breathing exercises.

A patient hospitalized with a fever and red, hot, painful knees is suspected of having septic arthritis. Information obtained during the nursing history that indicates a risk factor for septic arthritis is that the patient

is sexually active with multiple partners.

The nurse notices a circular lesion with a red border and clear center on the arm of a summer camp counselor who is in the clinic complaining of chills and muscle aches. Which action should the nurse take to follow up on that finding

Ask the patient about recent outdoor activities.

A patient reporting painful urination and knee pain is diagnosed with reactive arthritis. The nurse will plan to teach the patient about the need for several months of therapy with

Doxycycline (Vibramycin)

The nurse determines that colchicine has been effective for a patient with an acute attack of gout upon finding

Reduced joint pain

A patient with gout has a new prescription for losartan (Cozaar) to control the condition. The nurse will plan to monitor

blood pressure

A patient who takes multiple medications develops acute gouty arthritis. The nurse will consult with the health care provider before giving the prescribed dose of

Sertraline (Zoloft)

Which statement by a patient with systemic lupus erythematosus (SLE) indicates the patient has understood the nurse's teaching about the condition?

"I will use sunscreen when I am outside"

A 25-yr-old female patient with systemic lupus erythematosus (SLE) who has a facial rash and alopecia tells the nurse, "I never leave my house because I hate the way I look." The nurse will plan interventions with the patient to address the nursing diagnosis of

social isolation.

A new clinic patient with joint swelling and pain is being tested for systemic lupus erythematosus. Which test will provide the most specific findings for the nurse to review

Anti-Smith antibody (Anti-Sm)

The nurse is planning care for a patient with hypertension and gout who has a red, painful right great toe. Which nursing action will be included in the plan of care?

Use a footboard to hold bedding away from the toe.

The health care provider has prescribed the following interventions for a patient who is taking azathioprine (Imuran) for systemic lupus erythematosus. Which order will the nurse question?

Administer varicella vaccine.

A patient has scleroderma manifested by CREST (calcinosis, Raynaud's phenomenon, esophageal dysfunction, sclerodactyly, and telangiectasia) syndrome. Which action will the nurse include in the plan of care?

Keep the environment warm and draft free.

The nurse determines additional instruction is needed when a patient diagnosed with scleroderma makes which statement?

"I should lie down for an hour after each meal."

When the nurse brings medications to a patient with rheumatoid arthritis, the patient refuses the prescribed methotrexate. The patient tells the nurse, "My arthritis isn't that bad yet. The side effects of methotrexate are worse than the arthritis." The most appropriate response by the nurse is

"It is important to start methotrexate early to decrease the extent of joint damage."

Which assessment information obtained by the nurse indicates a patient with an exacerbation of rheumatoid arthritis (RA) is experiencing a side effect of prednisone?

The patient's blood glucose is 165 mg/dL.

The home health nurse is making a follow-up visit to a patient with recently diagnosed rheumatoid arthritis (RA). Which assessment made by the nurse indicates more patient teaching is needed?

The patient sleeps with two pillows under the head.

A patient with an acute attack of gout in the right great toe has a new prescription for probenecid. Which information about the patient's home routine indicates a need for teaching regarding gout management

The patient takes one aspirin a day to prevent angina.

Which result for a patient with systemic lupus erythematosus (SLE) is most important for the nurse to communicate to the health care provider

Elevated blood urea nitrogen (BUN)

Which finding for a patient who is taking hydroxychloroquine (Plaquenil) to treat rheumatoid arthritis is likely to be an adverse effect of the medication?

blurred vision

A 29-yr-old woman is taking methotrexate to treat rheumatoid arthritis. Which information from the patient's health history is important for the nurse to report to the health care provider related to the methotrexate?

The patient is trying to get pregnant before her disease becomes more severe.

Which laboratory result is important to communicate to the health care provider for a patient who is taking methotrexate to treat rheumatoid arthritis (RA)?

The white blood cell (WBC) count is 1500/µL.

A patient who had arthroscopic surgery of the right knee 7 days ago is admitted with a red, swollen, hot knee. Which assessment finding by the nurse should be reported to the health care provider immediately?

The blood pressure is 86/50 mm Hg.

A patient hospitalized with polymyositis has joint pain; erythematous facial rash; eyelid edema; and a weak, hoarse voice. The safety priority for the patient is addressing the

risk for aspiration

A patient with dermatomyositis is receiving long-term prednisone therapy. Which assessment finding by the nurse is important to report to the health care provider?

The patient has painful hematuria.

Which patient seen by the nurse in the outpatient clinic is most likely to require teaching about ways to reduce the risk for osteoarthritis (OA)?

A 56-year-old woman who works on an automotive assembly line

Which action will the nurse include in the plan of care for a patient with newly diagnosed ankylosing spondylitis?

Advise the patient to sleep on the back with a flat pillow.

After the nurse has taught a 28-yr-old with fibromyalgia, which statement by the patient indicates a good understanding of effective self-management?

"I will need to stop drinking so much coffee and soda."

Which information will the nurse include when teaching a patient with newly diagnosed systemic exertion intolerance disease (SEID) about self-management?

A gradual increase in daily exercise may help decrease fatigue.

The nurse assesses a 78-yr-old who uses naproxen (Aleve) daily for hand and knee osteoarthritis management. Which information requires a discussion with the health care provider about an urgent change in the treatment plan?

Laboratory results indicate blood urea nitrogen (BUN) is elevated.

A patient with psoriatic arthritis and back pain is receiving etanercept (Enbrel). Which finding is most important for the nurse to report to the health care provider?

Crackles are auscultated in the lung bases.

Which nursing action can the registered nurse (RN) delegate to unlicensed assistive personnel (UAP) who are assisting with the care of a patient with scleroderma?

Document the patient's oral intake.

During assessment of the patient with fibromyalgia, the nurse would expect the patient to report which of the following (select all that apply)?

Sleep disturbance, Multiple tender points, Widespread bilateral, burning musculoskeletal pain

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