Nur 242 Exam 6 QUESTIONS WITH
VERIFIED SOLUTIONS 2024/2025
1. 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? - ANS -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.
2. Which surgery is used as a prophylactic measure and as a palliative
treatment for clients with rheumatoid arthritis (RA)? - ANS -Synovectomy
,3. 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? - ANS -Developing a positive
attitude toward the eventual outcome
4. 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? - ANS -If experiencing pain after 1 to 2 hours of activity,
actively take measures to address the pain.
5. Which client has findings consistent with rheumatoid arthritis? - ANS -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)
6. 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 - ANS -Your joints are still inflamed, and
physical therapy can be harmful
7. Which finding would the nurse expect to identify in a client who has
osteoarthritis that would not be present in clients with rheumatoid
arthritis? - ANS -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)
8. 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? - ANS -Discuss
alternative solutions with the client
9. 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 - ANS -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)
10.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? - ANS -I do one set of exercises
slowly after breakfast, then I space the rest of them throughout the day.
( spacing activity protects joints)
11.The nurse is providing discharge teaching to a client who was hospitalized
for exacerbation of rheumatoid arthritis. Which statement by the client
VERIFIED SOLUTIONS 2024/2025
1. 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? - ANS -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.
2. Which surgery is used as a prophylactic measure and as a palliative
treatment for clients with rheumatoid arthritis (RA)? - ANS -Synovectomy
,3. 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? - ANS -Developing a positive
attitude toward the eventual outcome
4. 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? - ANS -If experiencing pain after 1 to 2 hours of activity,
actively take measures to address the pain.
5. Which client has findings consistent with rheumatoid arthritis? - ANS -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)
6. 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 - ANS -Your joints are still inflamed, and
physical therapy can be harmful
7. Which finding would the nurse expect to identify in a client who has
osteoarthritis that would not be present in clients with rheumatoid
arthritis? - ANS -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)
8. 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? - ANS -Discuss
alternative solutions with the client
9. 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 - ANS -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)
10.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? - ANS -I do one set of exercises
slowly after breakfast, then I space the rest of them throughout the day.
( spacing activity protects joints)
11.The nurse is providing discharge teaching to a client who was hospitalized
for exacerbation of rheumatoid arthritis. Which statement by the client
