Question 1

The nurse monitors for which of the following clinical manifestations in the patient diagnosed with systemic lupus erythematosus? Select all that apply.

Accepted Answer

A)  Alopecia
B)  Fever
C)  Elevated uric acid
D)  Thrombocytosis
E)  Leukopenia

Question 2

The patient enters the outpatient clinic and states to the triage nurse, "I think I have the flu. I'm so tired, I have no appetite, and everything hurts." The triage nurse assesses the patient and finds a butterfly rash over the bridge of nose and on the cheeks. Then nurse correlates this data with the clinical manifestations of which disorder?

Accepted Answer

A)  Gout
B)  Lyme disease
C)  Fibromyalgia
D)  Systemic lupus erythematosus

Question 3

A nurse is caring for a patient with systemic lupus erythematous (SLE)  who is taking hydroxychloroquine (Plaquenil) . When providing care for this patient, the nurse monitors for which adverse effect associated with the prescribed medication?

Accepted Answer

A)  Renal toxicity
B)  Retinal toxicity
C)  Cushingoid effects
D)  Pulmonary fibrosis

Question 4

The nurse develops the nursing diagnosis "Altered Comfort related to inflammation and pain secondary to urate crystals in the joints and tissues." For which disorder is this nursing diagnosis most relevant?

Accepted Answer

A)  Gout
B)  Osteoarthritis
C)  Rheumatoid arthritis
D)  Scleroderma

Question 5

The nurse provides education to a patient with rheumatoid arthritis who is prescribed methotrexate by the healthcare provider. Which patient statement indicates to the nurse the need for further teaching?

Accepted Answer

A)  "I can have a glass of wine each night with dinner."
B)  "I will take folic acid each day to decrease my risk of mouth ulcers."
C)  "I will continue to take my oral contraception to prevent pregnancy."
D)  "I didn't have to decrease my medication dose because my kidney tests came back okay."

Question 6

The nurse monitors for which of the following clinical manifestations in the patient diagnosed with osteoarthritis? Select all that apply.

Accepted Answer

A)  Bouchard's nodes
B)  Butterfly rash
C)  Crepitus
D)  Heberden's nodes
E)  Raynaud's phenomenon

Question 7

In providing care to a patient admitted for evaluation of a connective tissue disorder, the nurse formulates the nursing diagnosis "Self-Care Deficit related to joint deformities and pain secondary to pathological accumulation of collagen." This is most relevant to which disorder?

Accepted Answer

A)  Fibromyalgia
B)  Osteoarthritis
C)  Rheumatoid arthritis
D)  Scleroderma

Question 8

Which information should the nurse include when teaching a patient information regarding limited systemic scleroderma? Select all that apply.

Accepted Answer

A)  A rapid onset is anticipated.
B)  An insidious onset is anticipated.
C)  It affects internal organs several years before onset.
D)  It can be preceded by a diagnosis of Raynaud's phenomenon.
E)  Skin of extremities distal to the elbows and knees are affected.

Question 9

The nurse provides care for a patient who is admitted to the cardiac care unit for a coronary artery bypass graft (CABG) . The patient has a history of osteoarthritis. Which medication does the nurse question if prescribed by the healthcare provider?

Accepted Answer

A)  Ibuprofen (Advil) 
B)  Fentanyl (Duragesic) 
C)  Morphine (MS Contin) 
D)  Acetaminophen (Tylenol)

Question 10

The nurse is providing care to a patient who is receiving nonsteroidal anti-inflammatory drugs (NSAIDs)  for the treatment of rheumatoid arthritis. When providing care to this patient, which actions by the nurse are appropriate? Select all that apply.

Accepted Answer

A)  Assessing for an allergic reaction
B)  Monitoring for signs of renal problems
C)  Advising against abrupt discontinuation of drugs
D)  Assuring the patient that there is no relationship between NSAIDs and heart disease
E)  Encouraging the patient to take NSAIDs with water, milk, or a small snack to help avoid stomach distress

Exam 20: Coordinating Care for Patients With Connective Tissue Disorders

A nurse is caring for a patient with systemic lupus erythematous (SLE) who is taking hydroxychloroquine (Plaquenil) . When providing care for this patient, the nurse monitors for which adverse effect associated with the prescribed medication?

Correct Answer
verified

The nurse provides care for a patient who is admitted to the cardiac care unit for a coronary artery bypass graft (CABG) . The patient has a history of osteoarthritis. Which medication does the nurse question if prescribed by the healthcare provider?

Correct Answer
verified

In providing care to a patient admitted for evaluation of a connective tissue disorder, the nurse formulates the nursing diagnosis "Self-Care Deficit related to joint deformities and pain secondary to pathological accumulation of collagen." This is most relevant to which disorder?

Correct Answer
verified

The nurse provides education to a patient with rheumatoid arthritis who is prescribed methotrexate by the healthcare provider. Which patient statement indicates to the nurse the need for further teaching?

Correct Answer
verified

Correct Answer
verified

The nurse develops the nursing diagnosis "Altered Comfort related to inflammation and pain secondary to urate crystals in the joints and tissues." For which disorder is this nursing diagnosis most relevant?

Correct Answer
verified

The nurse is providing care to a patient who is receiving nonsteroidal anti-inflammatory drugs (NSAIDs) for the treatment of rheumatoid arthritis. When providing care to this patient, which actions by the nurse are appropriate? Select all that apply.

Correct Answer
verified

The nurse monitors for which of the following clinical manifestations in the patient diagnosed with systemic lupus erythematosus? Select all that apply.

Correct Answer
verified

Which information should the nurse include when teaching a patient information regarding limited systemic scleroderma? Select all that apply.

Correct Answer
verified

The nurse monitors for which of the following clinical manifestations in the patient diagnosed with osteoarthritis? Select all that apply.

Correct Answer
verified

Exam 20: Coordinating Care for Patients With Connective Tissue Disorders

A nurse is caring for a patient with systemic lupus erythematous (SLE) who is taking hydroxychloroquine (Plaquenil) . When providing care for this patient, the nurse monitors for which adverse effect associated with the prescribed medication?

Correct AnswerverifiedShow Answer

The nurse provides care for a patient who is admitted to the cardiac care unit for a coronary artery bypass graft (CABG) . The patient has a history of osteoarthritis. Which medication does the nurse question if prescribed by the healthcare provider?

Correct AnswerverifiedShow Answer

In providing care to a patient admitted for evaluation of a connective tissue disorder, the nurse formulates the nursing diagnosis "Self-Care Deficit related to joint deformities and pain secondary to pathological accumulation of collagen." This is most relevant to which disorder?

Correct AnswerverifiedShow Answer

The nurse provides education to a patient with rheumatoid arthritis who is prescribed methotrexate by the healthcare provider. Which patient statement indicates to the nurse the need for further teaching?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

The nurse develops the nursing diagnosis "Altered Comfort related to inflammation and pain secondary to urate crystals in the joints and tissues." For which disorder is this nursing diagnosis most relevant?

Correct AnswerverifiedShow Answer

The nurse is providing care to a patient who is receiving nonsteroidal anti-inflammatory drugs (NSAIDs) for the treatment of rheumatoid arthritis. When providing care to this patient, which actions by the nurse are appropriate? Select all that apply.

Correct AnswerverifiedShow Answer

The nurse monitors for which of the following clinical manifestations in the patient diagnosed with systemic lupus erythematosus? Select all that apply.

Correct AnswerverifiedShow Answer

Which information should the nurse include when teaching a patient information regarding limited systemic scleroderma? Select all that apply.

Correct AnswerverifiedShow Answer

The nurse monitors for which of the following clinical manifestations in the patient diagnosed with osteoarthritis? Select all that apply.

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified