Exam 5 Ch. 18 Rheumatoid Arthritis
Study Guide Exam And All Actual
Answers.
A patient with rheumatoid arthritis says to the nurse, "My eyes feel gritty." Further assessment reveals
that the patient also has redness in the eyes and no tears. What does the nurse suspect in this patient? -
Answer Sjögren's syndrome
The nurse is explaining the clinical manifestations of joint involvement of rheumatoid arthritis with a
nursing student. What is the best way to describe a Baker's cyst? - Answer Enlarged popliteal bursae
behind the knee
Which antirheumatic drug acts by inhibiting tyrosine kinase? - Answer Tofacitinib
Which condition is the consequence of pannus formation in a patient with rheumatoid arthritis? -
Answer Bony ankylosis
Which arthroplasty surgeries are commonly performed in patients with rheumatoid arthritis (RA)? Select
all that apply. - Answer Phalangeal arthroplasty
Metatarsal arthroplasty
Metacarpal arthroplasty
Which biologic is approved for administration once a month for patients with rheumatoid arthritis and
psoriatic arthritis? - Answer Golimumab
While caring for a patient with rheumatoid arthritis, the nurse finds that the patient has a single hot,
swollen, and painful wrist joint. Which is the best nursing intervention for this patient? - Answer
Notifying the primary health care provider
A patient with suspected rheumatoid arthritis had an arthrocentesis. Which components present in the
synovial fluid would indicate rheumatoid arthritis? Select all that apply - Answer Immune complex
, Inflammatory cells
Rheumatoid factor
Which anti-rheumatoid drug may increase the risk of opportunistic infections in patients? - Answer
Golimumab
Which characteristic is associated with gel phenomenon? - Answer Morning stiffness
Which syndrome is associated with leukopenia in a patient with rheumatoid arthritis? - Answer Felty's
syndrome
Chronic rheumatoid arthritis (RA) can manifest as one of several associated syndromes. Which of the
following is the most common in advanced RA? - Answer Sjögren's syndrome
Before administering prednisone IV push to a middle-aged adult with rheumatoid arthritis (RA), the
nurse notes that the patient's random blood glucose level is 139. Which action is most important for the
nurse to take? - Answer Administer the prescribed prednisone on schedule.
Which drug can be administered subcutaneously to a patient with rheumatoid arthritis (RA)? - Answer
Etanercept
The nurse is caring for a middle-aged patient diagnosed with rheumatoid arthritis. Which patient
statement requires further assessment for unproductive coping strategies? - Answer "My husband is
getting used to having sex only once a month."
The nurse reviews the chest x-ray report of a patient who is a coal miner and notes rheumatoid nodules
in the lungs. The nurse also notes that the lung biopsy report revealed severe inflammation and fibrosis
of the lung. Which complication does the nurse suspect in the patient? - Answer Caplan's syndrome
Which is a late manifestation of rheumatoid arthritis? - Answer Morning stiffness
Study Guide Exam And All Actual
Answers.
A patient with rheumatoid arthritis says to the nurse, "My eyes feel gritty." Further assessment reveals
that the patient also has redness in the eyes and no tears. What does the nurse suspect in this patient? -
Answer Sjögren's syndrome
The nurse is explaining the clinical manifestations of joint involvement of rheumatoid arthritis with a
nursing student. What is the best way to describe a Baker's cyst? - Answer Enlarged popliteal bursae
behind the knee
Which antirheumatic drug acts by inhibiting tyrosine kinase? - Answer Tofacitinib
Which condition is the consequence of pannus formation in a patient with rheumatoid arthritis? -
Answer Bony ankylosis
Which arthroplasty surgeries are commonly performed in patients with rheumatoid arthritis (RA)? Select
all that apply. - Answer Phalangeal arthroplasty
Metatarsal arthroplasty
Metacarpal arthroplasty
Which biologic is approved for administration once a month for patients with rheumatoid arthritis and
psoriatic arthritis? - Answer Golimumab
While caring for a patient with rheumatoid arthritis, the nurse finds that the patient has a single hot,
swollen, and painful wrist joint. Which is the best nursing intervention for this patient? - Answer
Notifying the primary health care provider
A patient with suspected rheumatoid arthritis had an arthrocentesis. Which components present in the
synovial fluid would indicate rheumatoid arthritis? Select all that apply - Answer Immune complex
, Inflammatory cells
Rheumatoid factor
Which anti-rheumatoid drug may increase the risk of opportunistic infections in patients? - Answer
Golimumab
Which characteristic is associated with gel phenomenon? - Answer Morning stiffness
Which syndrome is associated with leukopenia in a patient with rheumatoid arthritis? - Answer Felty's
syndrome
Chronic rheumatoid arthritis (RA) can manifest as one of several associated syndromes. Which of the
following is the most common in advanced RA? - Answer Sjögren's syndrome
Before administering prednisone IV push to a middle-aged adult with rheumatoid arthritis (RA), the
nurse notes that the patient's random blood glucose level is 139. Which action is most important for the
nurse to take? - Answer Administer the prescribed prednisone on schedule.
Which drug can be administered subcutaneously to a patient with rheumatoid arthritis (RA)? - Answer
Etanercept
The nurse is caring for a middle-aged patient diagnosed with rheumatoid arthritis. Which patient
statement requires further assessment for unproductive coping strategies? - Answer "My husband is
getting used to having sex only once a month."
The nurse reviews the chest x-ray report of a patient who is a coal miner and notes rheumatoid nodules
in the lungs. The nurse also notes that the lung biopsy report revealed severe inflammation and fibrosis
of the lung. Which complication does the nurse suspect in the patient? - Answer Caplan's syndrome
Which is a late manifestation of rheumatoid arthritis? - Answer Morning stiffness
