Chapter 65 Nursing Management Arthritis And Connective Tiss
Chapter 65: Nursing Management: Arthritis and Connective Tissue Diseases
Test Bank
MULTIPLE CHOICE
1. Which finding will the nurse expect when assessing a 58-year-old patient who has
osteoarthritis (OA) of the knee?
a. Discomfort with joint movement
b. Heberden’s and Bouchard’s nodes
c. Redness and swelling of the knee joint
d. Stiffness that increases with movement
ANS: A
Initial symptoms of OA include pain with joint movement. Heberden’s nodules occur on the fingers. Redness of the joint is more strongly associated with rheumatoid arthritis (RA).
Stiffness in OA is worse right after the patient rests and decreases with joint movement.
DIF: Cognitive Level: Understand (comprehension)
REF: 1562
TOP: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity
2. Which assessment finding about a patient who has been using naproxen (Naprosyn) for 6
weeks to treat osteoarthritis is most important for the nurse to report to the health care provider? a. The patient has gained 3 pounds.
b. The patient has dark-colored stools.
c. The patient’s pain has become more severe.
d. The patient is using capsaicin cream (Zostrix).
ANS: B
Dark-colored stools may indicate that the patient is experiencing gastrointestinal bleeding caused by the naproxen. The information about the patient’s ongoing pain and weight gain also will be reported and may indicate a need for a different treatment and/or counseling about avoiding weight gain, but these are not as large a concern as the possibility of gastrointestinal bleeding. Use of capsaicin cream with oral medications is appropriate.
DIF: Cognitive Level: Apply (application)
REF:
1565
TOP: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity
3. After the nurse has finished teaching a 68-year-old patient with osteoarthritis (OA) of the right
hip about how to manage the OA, which patient statement indicates a need for more teaching?
a. “I can take glucosamine to help decrease my knee pain.”
b. “I will take 1 g of
Test Bank
MULTIPLE CHOICE
1. Which finding will the nurse expect when assessing a 58-year-old patient who has
osteoarthritis (OA) of the knee?
a. Discomfort with joint movement
b. Heberden’s and Bouchard’s nodes
c. Redness and swelling of the knee joint
d. Stiffness that increases with movement
ANS: A
Initial symptoms of OA include pain with joint movement. Heberden’s nodules occur on the fingers. Redness of the joint is more strongly associated with rheumatoid arthritis (RA).
Stiffness in OA is worse right after the patient rests and decreases with joint movement.
DIF: Cognitive Level: Understand (comprehension)
REF: 1562
TOP: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity
2. Which assessment finding about a patient who has been using naproxen (Naprosyn) for 6
weeks to treat osteoarthritis is most important for the nurse to report to the health care provider? a. The patient has gained 3 pounds.
b. The patient has dark-colored stools.
c. The patient’s pain has become more severe.
d. The patient is using capsaicin cream (Zostrix).
ANS: B
Dark-colored stools may indicate that the patient is experiencing gastrointestinal bleeding caused by the naproxen. The information about the patient’s ongoing pain and weight gain also will be reported and may indicate a need for a different treatment and/or counseling about avoiding weight gain, but these are not as large a concern as the possibility of gastrointestinal bleeding. Use of capsaicin cream with oral medications is appropriate.
DIF: Cognitive Level: Apply (application)
REF:
1565
TOP: Nursing Process: Assessment
MSC: NCLEX: Physiological Integrity
3. After the nurse has finished teaching a 68-year-old patient with osteoarthritis (OA) of the right
hip about how to manage the OA, which patient statement indicates a need for more teaching?
a. “I can take glucosamine to help decrease my knee pain.”
b. “I will take 1 g of