Science Medicine Nursing
Nur 242 exam 6
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Psychiatric Nursing: Restraints, Lega... Body systems and combining forms ... Comprehensive Guide to Head, Nec... SE Nur
24 terms 11 terms 37 terms 9 terms
Bryan_Acero-Mendo... Preview annabrown95893202 Preview b_n2004 Preview rac
On reviewing the x-ray report of a client 2. According to the diagnostic criteria for rheumatoid arthritis, involvement of one to
with rheumatoid arthritis, the nurse learns three small joints (with or without large-joint involvement) is given a score of 2.
that three small joints are involved. Which Involvement of two to 10 large joints is given a score of 1. Involvement of four to 10
score will the nurse assign the client for small joints (with or without large-joint involvement) is given a score of 3.
joint involvement? Involvement of more than 10 joints (and at least one small joint) is given a score of 5.
Which surgery is used as a prophylactic Synovectomy
measure and as a palliative treatment for
clients with rheumatoid arthritis (RA)?
The nurse is coordinating care for a client Developing a positive attitude toward the eventual outcome
with severe rheumatoid arthritis. Which
health team perspective for planning care
would promote the client's self-reliance
and independence?
The nurse develops a teaching plan for a If experiencing pain after 1 to 2 hours of activity, actively take measures to address
client with rheumatoid arthritis. Which the pain.
information would the nurse include in the
plan about ways to reduce joint stress?
ESR 65 mm/hour (Erythrocyte sedimentation rate (ESR) is a nonspecific index of
Which client has findings consistent with inflammation. Its normal value is less than 30 mm/hr. Client D, who has elevated
rheumatoid arthritis? levels of ESR to 65 mm/hr, may present with rheumatoid arthritis, osteomyelitis,
rheumatic fever, or respiratory tract infections)
client admitted to the hospital with an Your joints are still inflamed, and physical therapy can be harmful
acute episode of rheumatoid arthritis (RA)
asks why physical therapy has not been
prescribed. Which response would the
nurse make
, Which finding would the nurse expect to Heberden nodes (Heberden nodules are the bony or cartilaginous enlargements of
identify in a client who has osteoarthritis the distal interphalangeal joints that are associated with osteoarthritis. Ulnar drift,
that would not be present in clients with swan-neck deformity, and boutonnière deformity occur with rheumatoid arthritis)
rheumatoid arthritis?
A client with rheumatoid arthritis arrives in Discuss alternative solutions with the client
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?
Decrease the number of repetitions of the exercises (Exercise should be performed
A client who has rheumatoid arthritis
to tolerance only; limiting the amount of exercise should decrease pain. To relax the
reports that pain with exercising has
joints, the client should take a hot shower versus a tub bath. Furthermore, it will be
increased. Which suggestion would the
difficult for a client with stiff joints to get into a typical bathtub. Ice should never be
nurse provide to the client to decrease
placed against the skin without a layer of protection; further damage or frostbite
pain? I'm
could occur. Ceasing exercise for a day will increase stiffness)
A client who has rheumatoid arthritis I do one set of exercises slowly after breakfast, then I space the rest of them
participates in an individualized exercise throughout the day. ( spacing activity protects joints)
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?
The nurse is providing discharge teaching I will reduce the number of exercise repetitions when I have pain.
to a client who was hospitalized for
exacerbation of rheumatoid arthritis. Which
statement by the client indicates correct
understanding of the treatment plan?
A regimen of rest, exercise, and physical Preventing additional joint damage
therapy is prescribed for a client with
rheumatoid arthritis. Which purpose of the
regimen would the nurse teach to the
client?
A nurse is creating a plan of care for a Applying heat or cold before the exercises
client with rheumatoid arthritis who has
severe pain and swelling of the hand joints.
Which details about range-of-motion
exercises would the plan include?
Which outcome is likely if direct pressure is Pain
applied to the joints of a client who has an
acute episode of rheumatoid arthritis?
An older client is admitted to a nursing Relief of pain
home. The client is incontinent of urine. The
client's rheumatoid arthritis contributes to
severely painful joints. Which client need
would the nurse identify as the primary
consideration in the care of this client?
See an expert-written answer!
Nur 242 exam 6
Save
Students also studied
Flashcard sets Study guides Practice tests
Psychiatric Nursing: Restraints, Lega... Body systems and combining forms ... Comprehensive Guide to Head, Nec... SE Nur
24 terms 11 terms 37 terms 9 terms
Bryan_Acero-Mendo... Preview annabrown95893202 Preview b_n2004 Preview rac
On reviewing the x-ray report of a client 2. According to the diagnostic criteria for rheumatoid arthritis, involvement of one to
with rheumatoid arthritis, the nurse learns three small joints (with or without large-joint involvement) is given a score of 2.
that three small joints are involved. Which Involvement of two to 10 large joints is given a score of 1. Involvement of four to 10
score will the nurse assign the client for small joints (with or without large-joint involvement) is given a score of 3.
joint involvement? Involvement of more than 10 joints (and at least one small joint) is given a score of 5.
Which surgery is used as a prophylactic Synovectomy
measure and as a palliative treatment for
clients with rheumatoid arthritis (RA)?
The nurse is coordinating care for a client Developing a positive attitude toward the eventual outcome
with severe rheumatoid arthritis. Which
health team perspective for planning care
would promote the client's self-reliance
and independence?
The nurse develops a teaching plan for a If experiencing pain after 1 to 2 hours of activity, actively take measures to address
client with rheumatoid arthritis. Which the pain.
information would the nurse include in the
plan about ways to reduce joint stress?
ESR 65 mm/hour (Erythrocyte sedimentation rate (ESR) is a nonspecific index of
Which client has findings consistent with inflammation. Its normal value is less than 30 mm/hr. Client D, who has elevated
rheumatoid arthritis? levels of ESR to 65 mm/hr, may present with rheumatoid arthritis, osteomyelitis,
rheumatic fever, or respiratory tract infections)
client admitted to the hospital with an Your joints are still inflamed, and physical therapy can be harmful
acute episode of rheumatoid arthritis (RA)
asks why physical therapy has not been
prescribed. Which response would the
nurse make
, Which finding would the nurse expect to Heberden nodes (Heberden nodules are the bony or cartilaginous enlargements of
identify in a client who has osteoarthritis the distal interphalangeal joints that are associated with osteoarthritis. Ulnar drift,
that would not be present in clients with swan-neck deformity, and boutonnière deformity occur with rheumatoid arthritis)
rheumatoid arthritis?
A client with rheumatoid arthritis arrives in Discuss alternative solutions with the client
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?
Decrease the number of repetitions of the exercises (Exercise should be performed
A client who has rheumatoid arthritis
to tolerance only; limiting the amount of exercise should decrease pain. To relax the
reports that pain with exercising has
joints, the client should take a hot shower versus a tub bath. Furthermore, it will be
increased. Which suggestion would the
difficult for a client with stiff joints to get into a typical bathtub. Ice should never be
nurse provide to the client to decrease
placed against the skin without a layer of protection; further damage or frostbite
pain? I'm
could occur. Ceasing exercise for a day will increase stiffness)
A client who has rheumatoid arthritis I do one set of exercises slowly after breakfast, then I space the rest of them
participates in an individualized exercise throughout the day. ( spacing activity protects joints)
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?
The nurse is providing discharge teaching I will reduce the number of exercise repetitions when I have pain.
to a client who was hospitalized for
exacerbation of rheumatoid arthritis. Which
statement by the client indicates correct
understanding of the treatment plan?
A regimen of rest, exercise, and physical Preventing additional joint damage
therapy is prescribed for a client with
rheumatoid arthritis. Which purpose of the
regimen would the nurse teach to the
client?
A nurse is creating a plan of care for a Applying heat or cold before the exercises
client with rheumatoid arthritis who has
severe pain and swelling of the hand joints.
Which details about range-of-motion
exercises would the plan include?
Which outcome is likely if direct pressure is Pain
applied to the joints of a client who has an
acute episode of rheumatoid arthritis?
An older client is admitted to a nursing Relief of pain
home. The client is incontinent of urine. The
client's rheumatoid arthritis contributes to
severely painful joints. Which client need
would the nurse identify as the primary
consideration in the care of this client?
See an expert-written answer!
