NURS 309 Quiz 14 Connective Tissue Latest

NURS 309 Quiz 14 Connective Tissue Latest Update -20 Questions and 100% Verified Correct Answers Guaranteed A+ A client is admitted with acute gouty arthritis. Which medication does the nurse anticipate the health care provider may prescribe to prevent and treat an acute attack of gout?

• Ibuprofen (Motrin)
• Colchicine (Colsalide)
• Probenecid (Benemid)

D. Hydrocortisone (Cortef) - CORRECT ANSWER: B. Colchicine (Colsalide)

A client is newly diagnosed with scleroderma states, "Where did I get this from?" The nurse's best response is "Although no cause has been determined for scleroderma, it is

through to be the result of:

• autoimmunity"
• ocular motility"
• increased amino acid metabolism"
• defective sebaceous gland formation" - CORRECT ANSWER: A. autoimmunity"

A client who has intermittently been having painful, swollen knee and wrist joints during the past 3 months is diagnosed with rheumatoid arthritis. What type of diet should the nurse expect the health care provider to order?

• Salt-free, low-fiber diet
• High-calorie, low-cholesterol diet
• High-protein diet with minimal calcium
• Regular diet with vitamins and minerals - CORRECT ANSWER: D. Regular diet with

vitamins and minerals

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A client with arthritis reports receiving the following dietary suggestions over the years.Which recommendation for a daily diet should the nurse reinforce?

• Wheat germ and yeast
• Yogurt and blackstrap molasses
• Multiple vitamin supplements in large doses

D. Adequate foods in a variety of different food groups - CORRECT ANSWER: D.

Adequate foods in a variety of different food groups

A client with rheumatoid arthritis asks the nurse why it is necessary to inject hydrocortisone into the knee joint. What reason should the nurse include in a response to this question?

• Lubricate the joint
• Reduce inflammation
• Provide physiotherapy

D. Prevent ankylosis of the joint - CORRECT ANSWER: B. Reduce inflammation

A client with rheumatoid arthritis has been talking a steroid medication for the past year.For which complication of prolonged use of this medication should the nurse assess the client?

• Decreased white blood cells
• Increased C-reactive protein
• Increased sedimentation rate

D. Decreased serum glucose levels - CORRECT ANSWER: A. Decreased white blood

cells

A client with rheumatoid arthritis has severe pain and swelling of the joints in both

hands. Range-of-motion exercises for this client should be:

• passively performed by the nurse
• avoided if the client reports discomfort
• preceded by the application of heat or cold 2 / 4

D. gradually increased to improve mobility and independence - CORRECT ANSWER:

• preceded by the application of heat or cold

A client with type-2 diabetes develops gout, and allopurinol (Zyloprim) is prescribed. The client is also taking metformin (Glucophage) and an over-the-counter nonsteroidal anti- inflammatory drug (NSAID). When teaching about the administration of allopurinol, what should the nurse instruct the client to do?

• Decrease the daily dose of NSAIDs
• Limit fluid intake to one quart a day
• Take the medication on an empty stomach

D. Monitor blood glucose levels more frequently - CORRECT ANSWER: D. Monitor

blood glucose levels more frequently

A nurse is assessing a client with the diagnosis of scleroderma for the signs of CREST syndrome. What clinical indicators should the nurse expect to identify? SATA

• Joint pain
• Mask-like facies
• Esophageal reflux
• Spider-like hemangiomas

E. Episodic blanching of the fingers - CORRECT ANSWER: C. Esophageal reflux

• Spider-like hemangiomas
• Episodic blanching of the fingers

A nurse is caring for a client attending a community-based health center and reviews the client's medical record. Progress note: Client has stage III rheumatoid arthritis, which is progressively causing more joint deformity, stiffness, and pain. Nurse's physical assessment: Client has ulnar drift of both hands and hallux valgus deformity of both feet. Client reports pain when walking and joint stiffness for several hours in the morning, particularly the small joints of the hands and feet. Joints of the hands reflects signs and symptoms of inflammation. Lab results: WBC: 13,000, Rheumatoid factor: 1:70 (positive for rheumatoid arthritis), ESR: 40 mm/hour, CRP: 20 mg/dL. What should the nurse encourage the client to do?

• Wring a sponge repeatedly when washing dishes 3 / 4

• Install faucets that require turning rather than pushing
• Engage in a sewing project several hours each morning

D. Push with the palms rather than - CORRECT ANSWER: D. Push with the palms

rather than the fingers when rising from a chair

A nurse is caring for a client with rheumatoid arthritis. Based on the client's diagnosis, the nurse should review the result of which laboratory test?

• Pancreatic lipase
• Bence Jones protein
• Antinuclear antibody

D. Alkaline phosphatase - CORRECT ANSWER: C. Antinuclear antibody

A nurse is interviewing a client who was diagnosed with systemic lupus erythematosus (SLE). Which common responses to this disease can the nurse expect the client to exhibit? SATA

• Butterfly facial rash
• Firm skin fixed to tissue
• Inflammation of the joints
• Muscle mass degeneration

E. Inflammation of small arteries - CORRECT ANSWER: A. Butterfly facial rash

• Inflammation of the joints

A nurse is providing counseling to a client with the diagnosis of systemic lupus erythematosus (SLE). What recommendations are essential for the nurse to include?

SATA

• Eat foods high in vitamin C
• Take your temperature daily
• Balance periods of rest and activity
• Use a strong soap when washing the skin
• Expose the skin to the sun as often as possible - CORRECT ANSWER: A. Eat foods

high in vitamin C

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