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HESI CASE STUDY RHEUMATOID ARTHRITIS WITH JOINT ARTHROPLASTY EXAM |
2025-2026 LATEST UPDATED | ACTUAL EXAM QUESTIONS WITH SOLUTIONS | 100%
RATED CORRECT | 100% VERFIED SOLTIONS | ALREADY GRADED A+
Which assessment findings may indicate aspirin toxicity? - (ANSWER)-headache and confusion
-hyperventilation and agitation
Which adverse effect of methotrexate places Terry at the highest risk for infection? - (ANSWER)Leukopenia
Which information should be included when teaching Terry how to manager her chronic pain? - (ANSWER)-protect
joints from stress
-alternate scheduled rest period with activity throughout the day
Terry is experiencing impaired mobility. Best nursing intervention? - (ANSWER)Advise Terry to take a hot shower
Which nursing intervention is best to implement for this nursing diagnosis? - (ANSWER)Discuss with Terry how to
work through problems that can arise while managing her condition
What is the nurse's best response? - (ANSWER)you seem very concerned about how this is impacting your family and
you
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Terry continues "its so hard on my husband and children..." - (ANSWER)There are surgical options that may help
What is the best definition of arthroplasty? - (ANSWER)surgical reconstruction or replacement of a joint
Which postoperative intervention should the nurse expect to implement? - (ANSWER)perform regular neurovascular
assessment
the nurse performs neurovascular - (ANSWER)cap refill >4 secs
Which instruction should the nurse include when teaching Terry about the PCA pump? - (ANSWER)you can request
additional pain meds if pain is not controlled
Which intervention should the nurse implement first? - (ANSWER)perform a nuero assessment
Which tasks can be delegated to the UAP? - (ANSWER)-apply antiembolic hose
-remove the CPM machine
Which professionals have prescriptive authority that can provide a prescription for a different analgesic? -
(ANSWER)NP, PA
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Nurse contacts the surgical PA, who provides a verbal prescription - (ANSWER)repeat the verbal order back to PA for
clarification
Which intervention should the nurse implement first? - (ANSWER)Assess vital signs and check dressing
Which intervention should the nurse prepare to implement? - (ANSWER)cold packs or cooling blanket
Which manifestations may indicate the onset of septic shock? - (ANSWER)decreased urinary output
altered mental state
math problem - (ANSWER)50
Which nursing intervention related to the scheduled bone scan is most important to implement? - (ANSWER)D) Instruct
Terry to increase fluid intake after the test
Which etiologic factor is related to the onset of rheumatoid arthritis? - (ANSWER)B) Genetic Predisposition
In addition to the bilateral swollen tender joints, weight loss, and fatigue, what additional manifestation(s) of RA might
Terry exhibit? - (ANSWER)B) Joint deformities
D) Fever
E) Stiffness
HESI CASE STUDY RHEUMATOID ARTHRITIS WITH JOINT ARTHROPLASTY EXAM |
2025-2026 LATEST UPDATED | ACTUAL EXAM QUESTIONS WITH SOLUTIONS | 100%
RATED CORRECT | 100% VERFIED SOLTIONS | ALREADY GRADED A+
Which assessment findings may indicate aspirin toxicity? - (ANSWER)-headache and confusion
-hyperventilation and agitation
Which adverse effect of methotrexate places Terry at the highest risk for infection? - (ANSWER)Leukopenia
Which information should be included when teaching Terry how to manager her chronic pain? - (ANSWER)-protect
joints from stress
-alternate scheduled rest period with activity throughout the day
Terry is experiencing impaired mobility. Best nursing intervention? - (ANSWER)Advise Terry to take a hot shower
Which nursing intervention is best to implement for this nursing diagnosis? - (ANSWER)Discuss with Terry how to
work through problems that can arise while managing her condition
What is the nurse's best response? - (ANSWER)you seem very concerned about how this is impacting your family and
you
,2|Page
Terry continues "its so hard on my husband and children..." - (ANSWER)There are surgical options that may help
What is the best definition of arthroplasty? - (ANSWER)surgical reconstruction or replacement of a joint
Which postoperative intervention should the nurse expect to implement? - (ANSWER)perform regular neurovascular
assessment
the nurse performs neurovascular - (ANSWER)cap refill >4 secs
Which instruction should the nurse include when teaching Terry about the PCA pump? - (ANSWER)you can request
additional pain meds if pain is not controlled
Which intervention should the nurse implement first? - (ANSWER)perform a nuero assessment
Which tasks can be delegated to the UAP? - (ANSWER)-apply antiembolic hose
-remove the CPM machine
Which professionals have prescriptive authority that can provide a prescription for a different analgesic? -
(ANSWER)NP, PA
, 3|Page
Nurse contacts the surgical PA, who provides a verbal prescription - (ANSWER)repeat the verbal order back to PA for
clarification
Which intervention should the nurse implement first? - (ANSWER)Assess vital signs and check dressing
Which intervention should the nurse prepare to implement? - (ANSWER)cold packs or cooling blanket
Which manifestations may indicate the onset of septic shock? - (ANSWER)decreased urinary output
altered mental state
math problem - (ANSWER)50
Which nursing intervention related to the scheduled bone scan is most important to implement? - (ANSWER)D) Instruct
Terry to increase fluid intake after the test
Which etiologic factor is related to the onset of rheumatoid arthritis? - (ANSWER)B) Genetic Predisposition
In addition to the bilateral swollen tender joints, weight loss, and fatigue, what additional manifestation(s) of RA might
Terry exhibit? - (ANSWER)B) Joint deformities
D) Fever
E) Stiffness
