NURS 309 Quiz 14 Connective Tissue Questions With
Complete Solutions
A client is admitted with acute gouty arthritis. Which medication
does the nurse anticipate the health care provider may prescribe
to prevent and treat an acute attack of gout?
A. Ibuprofen (Motrin)
B. Colchicine (Colsalide)
C. Probenecid (Benemid)
D. Hydrocortisone (Cortef) Correct Answers B. Colchicine
(Colsalide)
A client is newly diagnosed with scleroderma states, "Where did
I get this from?" The nurse's best response is "Although no
cause has been determined for scleroderma, it is through to be
the result of:
A. autoimmunity"
B. ocular motility"
C. increased amino acid metabolism"
D. defective sebaceous gland formation" Correct Answers A.
autoimmunity"
A client who has intermittently been having painful, swollen
knee and wrist joints during the past 3 months is diagnosed with
rheumatoid arthritis. What type of diet should the nurse expect
the health care provider to order?
A. Salt-free, low-fiber diet
B. High-calorie, low-cholesterol diet
C. High-protein diet with minimal calcium
D. Regular diet with vitamins and minerals Correct Answers D.
Regular diet with vitamins and minerals
,A client with arthritis reports receiving the following dietary
suggestions over the years. Which recommendation for a daily
diet should the nurse reinforce?
A. Wheat germ and yeast
B. Yogurt and blackstrap molasses
C. Multiple vitamin supplements in large doses
D. Adequate foods in a variety of different food groups Correct
Answers D. Adequate foods in a variety of different food
groups
A client with rheumatoid arthritis asks the nurse why it is
necessary to inject hydrocortisone into the knee joint. What
reason should the nurse include in a response to this question?
A. Lubricate the joint
B. Reduce inflammation
C. Provide physiotherapy
D. Prevent ankylosis of the joint Correct Answers B. Reduce
inflammation
A client with rheumatoid arthritis has been talking a steroid
medication for the past year. For which complication of
prolonged use of this medication should the nurse assess the
client?
A. Decreased white blood cells
B. Increased C-reactive protein
C. Increased sedimentation rate
D. Decreased serum glucose levels Correct Answers A.
Decreased white blood cells
, A client with rheumatoid arthritis has severe pain and swelling
of the joints in both hands. Range-of-motion exercises for this
client should be:
A. passively performed by the nurse
B. avoided if the client reports discomfort
C. preceded by the application of heat or cold
D. gradually increased to improve mobility and independence
Correct Answers C. preceded by the application of heat or cold
A client with type-2 diabetes develops gout, and allopurinol
(Zyloprim) is prescribed. The client is also taking metformin
(Glucophage) and an over-the-counter nonsteroidal anti-
inflammatory drug (NSAID). When teaching about the
administration of allopurinol, what should the nurse instruct the
client to do?
A. Decrease the daily dose of NSAIDs
B. Limit fluid intake to one quart a day
C. Take the medication on an empty stomach
D. Monitor blood glucose levels more frequently Correct
Answers D. Monitor blood glucose levels more frequently
A nurse is assessing a client with the diagnosis of scleroderma
for the signs of CREST syndrome. What clinical indicators
should the nurse expect to identify? SATA
A. Joint pain
B. Mask-like facies
C. Esophageal reflux
D. Spider-like hemangiomas
E. Episodic blanching of the fingers Correct Answers C.
Esophageal reflux
D. Spider-like hemangiomas
Complete Solutions
A client is admitted with acute gouty arthritis. Which medication
does the nurse anticipate the health care provider may prescribe
to prevent and treat an acute attack of gout?
A. Ibuprofen (Motrin)
B. Colchicine (Colsalide)
C. Probenecid (Benemid)
D. Hydrocortisone (Cortef) Correct Answers B. Colchicine
(Colsalide)
A client is newly diagnosed with scleroderma states, "Where did
I get this from?" The nurse's best response is "Although no
cause has been determined for scleroderma, it is through to be
the result of:
A. autoimmunity"
B. ocular motility"
C. increased amino acid metabolism"
D. defective sebaceous gland formation" Correct Answers A.
autoimmunity"
A client who has intermittently been having painful, swollen
knee and wrist joints during the past 3 months is diagnosed with
rheumatoid arthritis. What type of diet should the nurse expect
the health care provider to order?
A. Salt-free, low-fiber diet
B. High-calorie, low-cholesterol diet
C. High-protein diet with minimal calcium
D. Regular diet with vitamins and minerals Correct Answers D.
Regular diet with vitamins and minerals
,A client with arthritis reports receiving the following dietary
suggestions over the years. Which recommendation for a daily
diet should the nurse reinforce?
A. Wheat germ and yeast
B. Yogurt and blackstrap molasses
C. Multiple vitamin supplements in large doses
D. Adequate foods in a variety of different food groups Correct
Answers D. Adequate foods in a variety of different food
groups
A client with rheumatoid arthritis asks the nurse why it is
necessary to inject hydrocortisone into the knee joint. What
reason should the nurse include in a response to this question?
A. Lubricate the joint
B. Reduce inflammation
C. Provide physiotherapy
D. Prevent ankylosis of the joint Correct Answers B. Reduce
inflammation
A client with rheumatoid arthritis has been talking a steroid
medication for the past year. For which complication of
prolonged use of this medication should the nurse assess the
client?
A. Decreased white blood cells
B. Increased C-reactive protein
C. Increased sedimentation rate
D. Decreased serum glucose levels Correct Answers A.
Decreased white blood cells
, A client with rheumatoid arthritis has severe pain and swelling
of the joints in both hands. Range-of-motion exercises for this
client should be:
A. passively performed by the nurse
B. avoided if the client reports discomfort
C. preceded by the application of heat or cold
D. gradually increased to improve mobility and independence
Correct Answers C. preceded by the application of heat or cold
A client with type-2 diabetes develops gout, and allopurinol
(Zyloprim) is prescribed. The client is also taking metformin
(Glucophage) and an over-the-counter nonsteroidal anti-
inflammatory drug (NSAID). When teaching about the
administration of allopurinol, what should the nurse instruct the
client to do?
A. Decrease the daily dose of NSAIDs
B. Limit fluid intake to one quart a day
C. Take the medication on an empty stomach
D. Monitor blood glucose levels more frequently Correct
Answers D. Monitor blood glucose levels more frequently
A nurse is assessing a client with the diagnosis of scleroderma
for the signs of CREST syndrome. What clinical indicators
should the nurse expect to identify? SATA
A. Joint pain
B. Mask-like facies
C. Esophageal reflux
D. Spider-like hemangiomas
E. Episodic blanching of the fingers Correct Answers C.
Esophageal reflux
D. Spider-like hemangiomas
