Question 1 of 9
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Which clinical manifestation would the nurse expect when assigned to provide care for a patient with gouty arthritis?
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- Evidence of unilateral joint deformityJoint deformity is not associated with the condition.
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- Decreased range of motion of most jointsDecreased range of motion of most of the body’s joints is not associated with the condition.
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- Swelling and pain in the great toe or other jointGouty arthritis most commonly affects the big toe but may occur in other joints.
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- Signs of compression of the spine from collapsed vertebraeThere are no signs of spinal nerve compression associated with this condition.
Question 2 of 9
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Which diagnosis is anticipated when a patient reports to the emergency department with headache, nausea, and fever after traveling to New England for a hiking trip and the nurse notes a bullseye rash on the left arm?
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- Covid-19Covid-19 typically presents with respiratory symptoms, not with a bullseye rash.
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- Rheumatoid arthritisRheumatoid arthritis presents with joint pain and deformities, not with headache, fever, and a bullseye rash.
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- Lyme diseaseLyme disease presents with flu symptoms and a bullseye rash. Tick carriers are common in New England.
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- Food poisoningFood poisoning would not present with a bullseye rash.
Question 3 of 9
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Which education would be the priority to provide a patient with osteoarthritis when acetaminophen is recommended long-term for pain control?
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- Take 4,000 mg per day and limit alcohol intake.Taking 4,000 mg per day for long-term acetaminophen therapy is contraindicated.
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- Take 3,000 mg or less per day and do not drink alcohol.Avoiding alcohol intake and taking 3,0000 mg per day of acetaminophen is appropriate.
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- Follow up frequently for scheduled lab tests.Frequent lab testing is not necessary.
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- Watch for bleeding and blood in the stools.Acetaminophen typically does not cause bleeding.
Question 4 of 9
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Which response would the nurse provide when a patient recently diagnosed with rheumatoid arthritis asks what caused the disease?
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- Previous joint injuries and inflammationOsteoarthritis is more associated with previous injuries.
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- A bite from an infected tickA tick bite leads to Lyme associated arthritis.
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- An abnormal immune response related to other factorsRheumatoid arthritis is an autoimmune disease with multiple causes.
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- Long-term use of steroids leading to abnormal reactionsRheumatoid arthritis can lead to long-term steroid use.
Question 5 of 9
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Which diagnosis would the nurse anticipate when a patient presents with bilateral significant joint deformity of the wrists, significant pain, and a low-grade fever?
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- OsteoarthritisOsteoarthritis typically presents on one side and does not cause a low grade fever.
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- Rheumatoid arthritisRheumatoid arthritis impacts joints bilaterally and can cause low grade fever.
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- Lyme diseaseLyme disease presents with flu-like symptoms and joint stiffness.
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- Wrist fractureWrist fracture would not be likely to cause a low-grade fever.
Question 6 of 9
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Which education would be significant for a patient receiving an intraarticular injection of steroids for rheumatoid arthritis?
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- This injection may cause weight gain and high blood sugars.Intraarticular injections typically do not cause systemic effects.
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- You should contact your provider any time another injection is needed.Steroid injections can only be given 2 to 3 times per year.
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- You may only receive 2 to 3 injections per year.Intraarticular injections are limited to 2 to 3 injections per year.
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- This injection may suppress your immune system.Intraarticular injections typically do not suppress the immune system.
Question 7 of 9
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Which action would the nurse take if they are unable to palpate the pedal pulse on the affected extremity post hip replacement after applying the abductor pillow?
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- Report the finding to the provider.Further assessment is needed before contacting the provider.
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- Assess the tightness of the straps.The straps should be assessed for tightness.
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- Use a doppler to locate the pulse.The straps should be checked before taking further action.
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- Assess the popliteal pulse.Strap tightness should be assessed before taking further action
Question 8 of 9
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Which lab value order would the nurse anticipate for a patient on diuretic therapy who reports a swollen, red left ankle joint with no history of injury and that the joint feels “tight”?
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- Uric acidDiuretic therapy can lead to secondary gout, so the uric acid level should be drawn.
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- PotassiumDiuretic therapy can lead to potassium imbalances but would not present with these signs and symptoms.
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- SodiumDiuretic therapy can lead to sodium imbalances but would not present with these signs and symptoms.
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- Lactic acidLactic acid is usually checked to evaluate for sepsis.
Question 9 of 9
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Which commonly used group of medications would the nurse associate with the treatment of both rheumatoid arthritis and osteoarthritis?
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- OpiatesManagement of osteoarthritis does not routinely include opiates.
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- ImmunosuppressantsImmunosuppressants are not used for osteoarthritis.
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- Systemic corticosteroidsUse of corticosteroids may occur, but not with the frequency of another classification of medications.
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- Nonsteroidal antiinflammatory drugs (NSAIDs)The care and management of the patient experiencing both rheumatoid arthritis and osteoarthritis frequently includes NSAIDs. NSAIDs reduce inflammation experienced with these conditions.