MEDICAL-SURGICAL RN B
PROPHECY RELIAS 2023
QUESTIONS AND COMPLETE
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,
,A 75-year-old female patient complains about morning stiffness and increasing joint pain in her right
hip. What is the best initial drug therapy for her?
A. aspirin
B. naproxen (Aleve)
C. ibuprofen (Motrin)
D. acetaminophen (Tylenol) D. acetaminophen (Tylenol)
For patients with osteoarthritis who have mild to moderate pain, the initial drug of choice is
acetaminophen.
Ch. 65 Pre-Assessment #3
Which of the following laboratory values would probably be found in a patient with osteoarthritis
(OA)?
A. Decreased RBCs
B. Increased WBCs
C. Clear yellow synovial fluid
D. Increased C-reactive protein
E. Increased erythrocyte sedimentation rate C. Clear yellow synovial fluid
Normally there are no laboratory abnormalities or biomarkers for OA. Clear yellow fluid is normal
synovial fluid.
Ch. 65 Pre-Assessment #4
A patient who has ankylosing spondylitis (AS) asks the nurse for help in choosing suitable activities
for maintaining good posture. Which exercise should the nurse advise the patient to avoid?
A. Do stomach crunching
B. Stand on a single leg
C. Face wall and push off
D. Stretch the lower back A. Do stomach crunching
, Rank in order the sequence of events leading to joint destruction in secondary osteoarthritis (OA)
beginning with the effect of an injury to the cervical spine.
A. Exacerbation of abdominal tissue growth
B. Bony articular surfaces in joint exposed
C. Fragile, soft, dull joint cartilage develops
D. Irregular joint motion, stiffness, and pain C. Fragile, soft, dull joint cartilage develops
A. Exacerbation of abdominal tissue growth
D. Irregular joint motion, stiffness, and pain
B. Bony articular surfaces in joint exposed
A precipitating factor, such as trauma to the spine, leads to the development of OA by damaging the
cartilage. Joint destruction begins with the development of dull, soft, less elastic, and more fragile
cartilage. Because the body is unable to repair the cartilage fast enough, the cartilage develops
fissures and erosion and, in so doing, becomes thinner, leading to the formation of osteophytes and
cartilage at the joint margins. The formation of abnormal tissue leads to abnormal joint movement.
Pain and stiffness increase as the bony surfaces of the joint are exposed.
Ch. 65 Pre-Assessment #1
The nurse is assessing a patient who is complaining of joint pain and stiffness. Which assessment
does not differentiate between osteoarthritis (OA) and rheumatoid arthritis (RA)?
A. Symmetry of joint effect
B. Duration of joint stiffness
C. Space between the bones
D. Erythrocyte sedimentation rate C. Space between the bones
Both OA and RA manifest with narrowed joint spaces so this is not a valid assessment to help
differentiate between the two disorders. The remaining options are patient assessments that
facilitate differentiation of OA and RA because symmetric joints are affected in RA but not in OA;
stiffness resolves in less than 30 minutes with OA but not RA; and a patient with RA, but not OA, is
likely to have elevated erythrocyte sedimentation levels indicating inflammation.
Ch. 65 Pre-Assessment #2
PROPHECY RELIAS 2023
QUESTIONS AND COMPLETE
WELL EXPLAINED AND 100%
CORRECT VERIFIED ANSWERS
WITH RATIONALE LATEST
UPDATE 2024 GRADED A+[ALL
YOU NEED TO PASS YOUR
EXAMS][100% GUARANTEED
SUCCESS AFTER DOWNLOAD]
,
,A 75-year-old female patient complains about morning stiffness and increasing joint pain in her right
hip. What is the best initial drug therapy for her?
A. aspirin
B. naproxen (Aleve)
C. ibuprofen (Motrin)
D. acetaminophen (Tylenol) D. acetaminophen (Tylenol)
For patients with osteoarthritis who have mild to moderate pain, the initial drug of choice is
acetaminophen.
Ch. 65 Pre-Assessment #3
Which of the following laboratory values would probably be found in a patient with osteoarthritis
(OA)?
A. Decreased RBCs
B. Increased WBCs
C. Clear yellow synovial fluid
D. Increased C-reactive protein
E. Increased erythrocyte sedimentation rate C. Clear yellow synovial fluid
Normally there are no laboratory abnormalities or biomarkers for OA. Clear yellow fluid is normal
synovial fluid.
Ch. 65 Pre-Assessment #4
A patient who has ankylosing spondylitis (AS) asks the nurse for help in choosing suitable activities
for maintaining good posture. Which exercise should the nurse advise the patient to avoid?
A. Do stomach crunching
B. Stand on a single leg
C. Face wall and push off
D. Stretch the lower back A. Do stomach crunching
, Rank in order the sequence of events leading to joint destruction in secondary osteoarthritis (OA)
beginning with the effect of an injury to the cervical spine.
A. Exacerbation of abdominal tissue growth
B. Bony articular surfaces in joint exposed
C. Fragile, soft, dull joint cartilage develops
D. Irregular joint motion, stiffness, and pain C. Fragile, soft, dull joint cartilage develops
A. Exacerbation of abdominal tissue growth
D. Irregular joint motion, stiffness, and pain
B. Bony articular surfaces in joint exposed
A precipitating factor, such as trauma to the spine, leads to the development of OA by damaging the
cartilage. Joint destruction begins with the development of dull, soft, less elastic, and more fragile
cartilage. Because the body is unable to repair the cartilage fast enough, the cartilage develops
fissures and erosion and, in so doing, becomes thinner, leading to the formation of osteophytes and
cartilage at the joint margins. The formation of abnormal tissue leads to abnormal joint movement.
Pain and stiffness increase as the bony surfaces of the joint are exposed.
Ch. 65 Pre-Assessment #1
The nurse is assessing a patient who is complaining of joint pain and stiffness. Which assessment
does not differentiate between osteoarthritis (OA) and rheumatoid arthritis (RA)?
A. Symmetry of joint effect
B. Duration of joint stiffness
C. Space between the bones
D. Erythrocyte sedimentation rate C. Space between the bones
Both OA and RA manifest with narrowed joint spaces so this is not a valid assessment to help
differentiate between the two disorders. The remaining options are patient assessments that
facilitate differentiation of OA and RA because symmetric joints are affected in RA but not in OA;
stiffness resolves in less than 30 minutes with OA but not RA; and a patient with RA, but not OA, is
likely to have elevated erythrocyte sedimentation levels indicating inflammation.
Ch. 65 Pre-Assessment #2
