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Week 12 BSN246
Week 12 Arthritis
| Question | Answer |
|---|---|
| Place the clinical progression of rheumatoid arthritis in order of occurrence in the disease process. | - Synovial inflammation and lymphocytes increase. - Articular cartilage destruction causes growth of vascular granulation tissue. - Inflamed pannus destroys bone and bone edges. - Joint deformities occur. |
| A patient diagnosed with osteoarthritis (OA) would have which manifestations? | - Joint pain and stiffness - Grating sensation with movement - Nodes at the proximal interphalangeal joints |
| Which manifestations would indicate that a patient is in the late stage of rheumatoid arthritis (RA)? | - Gel phenomenon - Peripheral neuropathy |
| An image of the hand of a patient with osteoarthritis (OA) is provided. Which label (A, B, C, or D) in the image points to a Bouchard’s node? | C |
| A patient with osteoarthritis (OA) reports doing a lot of walking and is now experiencing increased knee pain. Which actions should the nurse recommend to this patient? | - Use a whirlpool on a daily basis. - Alternate application of ice and heat to the knee. - Take frequent rest periods with the knee elevated. |
| Which teaching should the nurse provide to a patient with rheumatoid arthritis (RA) who has just started taking azathioprine? | Avoid people who are sick |
| A female patient with rheumatoid arthritis (RA) states that she has been treated for years with different medications but is frustrated that she still hasn't achieved relief. Which responses from the nurse are appropriate? | “Maybe you should try yoga or Tai Chi.” - “You should ask your health care provider about joint replacement.” - “You can speak to your health care provider about transcutaneous electrical nerve stimulation (TENS).” |
| Which questions should the nurse ask a patient with osteoarthritis (OA) to determine comfort? | “When your pain occurs, how long does it last?” - “How would you rate your pain on a scale of 0 to 10?” - “What medications do you take to alleviate your arthritic pain?” - “Does the arthritis prevent you from doing activities you enjoy?” |
| A patient with osteoarthritis (OA) who is working as an office assistant asks the nurse what can be done to perform the job while managing their symptoms of OA. Which responses from the nurse would benefit the patient? | “Use a computer instead of writing by hand.” - “Use a voice or video recorder and transcribe when necessary.” - “Sit up straight and make sure you have your office chair in a comfortable position |
| Which patient statement indicates correct understanding about the management of rheumatoid arthritis (RA)? | I have started taking a yoga class weekly.” |
Created by:
Brandi Sizemore
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