Chapter 44: Connective Tissue Disorders

26問 • 1年前

問題一覧

A 51-year-old professional tennis instructor is newly diagnosed with osteoarthritis. Which is the nurse’s best explanation to the patient when asked what this diagnosis means?

Degeneration of articular cartilage

A nurse explains to a patient with rheumatoid arthritis that the drug leflunomide (Arava) is a disease-modifying antirheumatic drug (DMARD). Which action of this medication is correct?

Retards the progress of the disease

A nurse is caring for a patient with osteoarthritis. Which is the best recommendation by the nurse to this patient to control chronic pain?

Administer analgesics as prescribed on a routine basis.

An older patient with osteoarthritis complains of stomach discomfort and shortness of breath after years of taking aspirin for pain relief. Which change in pain control medication would be most appropriate for the home health care nurse to suggest?

Nonsteroidal anti-inflammatory drugs (NSAIDs)

A home health care nurse is visiting a patient after a total hip replacement. Which information should the nurse include when teaching the patient how to protect the new joint?

Put an extension on the toilet seat.

After a knee replacement, an 87-year-old patient rejects the use of the continuous passive motion (CPM) machine, saying, “I did not march when I was a child, and I am not marching now.” Which benefits of CPM should the nurse point out to encourage the patient to use this machine?

Increase in flexibility for the new joint

Which body structures do connective tissue diseases affect?

Bones, ligaments, cartilage, and tendons

Which patient is most likely to develop a connective tissue disease?

A 30-year-old woman who plays tennis

Which statement is true regarding connective tissue function?

Provides protection to body parts

Which characteristic should a nurse recognize as diagnostic of rheumatoid arthritis?

Symmetric bilateral joint swelling

A patient asks why systemic glucocorticoid medications are used as the last choice for the treatment of rheumatoid arthritis. Which reply by the nurse is the most informative?

“They are used as a last choice or for short periods because they have many side effects.”

A nurse, in conjunction with a patient, establishes a plan to treat the pain associated with arthritis. Which strategy is the most effective?

Apply warm, moist compresses before doing activity.

Which is the best physiologic reason for a patient with osteoporosis to maintain a regular exercise regimen?

Promotes bone formation and improves strength

A nurse is organizing a teaching plan for a patient with gout. Which problem should the nurse caution this patient he is at an increased risk for?

Kidney stones

A nurse is educating a patient with gout about a low-purine diet. Which food choice by the patient would indicate the need for further teaching?

Seafood platter with scallops and mussels

A nurse is caring for a patient immediately after total knee replacement surgery. Which assessment requires priority?

Quality of pulses in the affected limb

Inadequate nutrition is the patient problem applicable to a patient with progressive systemic sclerosis. Which information is the most important point for the nurse to teach this patient?

Eat smaller, more frequent meals.

Which instruction should a nurse include in a teaching plan for a patient with carpal tunnel syndrome?

Splinting to prevent flexion and hyperextension

Two days after a total hip replacement, a patient is being discharged. Which statement indicates that the patient understands the discharge teaching?

“I will ask my husband to tie my shoes for me.”

Which action would best benefit the patient diagnosed with bursitis of the shoulder?

Walking the fingers of the affected arm up the wall

Which goals apply to therapy for patients with rheumatic arthritis? (Select all that apply.)

Decrease inflammation., Balance activity and rest., Promote adaptation to limitations., Supply patient education and support.

Which actions would be best for patients with osteoarthritis to seek the assistance of physical therapy? (Select all that apply.)

Moist heat application, Instruction with a transcutaneous electrical nerve stimulation (TENS) unit, Measures to increase range of motion, Measures to increase strength

Which signs of progressive systemic sclerosis do the anonym CREST represent? (Select all that apply.)

Calcinosis, Esophageal dysfunction, Telangiectasis

To decrease osteoporosis, a nurse explains that women can benefit from for __________ 15 years after the onset of menopause.

estrogen

A nurse assesses ischemic spots around the nail beds of a patient with rheumatoid arthritis and recognizes that these are a complication of medical diagnosis, rheumatoid arthritis, related to _______.

vasculitis

A nurse clarifies that a postmenopausal woman who is not taking hormone replacement therapy should take ____________ mg elemental calcium on a daily basis. (Use numeric characters only.)

1500

study

ユーザ名非公開 · 61問 · 1年前

study