Nursing Care in Osteoarthritis and Medications
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Questions and Answers

What is the best response to a client who states they are going to try to get pregnant after stopping methotrexate?

  • Pregnancy is not recommended while taking methotrexate due to possible birth defects.
  • There is no risk of pregnancy with methotrexate as long as the dose is low.
  • You should wait at least 3 months after stopping methotrexate before trying to conceive. (correct)
  • You can safely continue methotrexate until you are 4 months pregnant.
  • What is the primary goal of medication therapy for a client with osteoarthritis?

  • Reduce pain and inflammation (correct)
  • Cure the disease
  • Prevent joint deformity
  • Promote bone regeneration
  • Which statement by a client taking anticoagulant medication after total hip arthroplasty indicates a need for further instruction?

  • I will notify my healthcare provider if I notice any signs of bleeding.
  • My anticoagulant will be interrupted for several days before surgery. (correct)
  • I should avoid any activities that might increase my risk of bleeding.
  • I will take my anticoagulant medication every day as prescribed.
  • Which negative side effect should a nurse teach a client starting on celecoxib to observe for?

    <p>Dark tarry stools</p> Signup and view all the answers

    What negative side effect should a nurse advise a client on leflunomide to monitor for?

    <p>Decreased white blood cells</p> Signup and view all the answers

    Which option aligns best with the expressed wishes of a client seeking non-drug therapies for rheumatoid arthritis?

    <p>Chamomile tea and topical pain relief gel</p> Signup and view all the answers

    When planning care for a client who has a fractured femur, which aspect is most critical to consider?

    <p>The client's age and overall health</p> Signup and view all the answers

    Which of the following statements regarding osteoarthritis medication is incorrect?

    <p>Medications can cure the underlying disease.</p> Signup and view all the answers

    What is the best intervention to reduce the risk of the client falling in the hospital room?

    <p>Place a bell on the client's door for alerting staff.</p> Signup and view all the answers

    Which intervention should be included in the care plan for a client experiencing eye dryness?

    <p>Administer artificial tears as ordered.</p> Signup and view all the answers

    Which statement indicates a proper understanding of preventing cross-contamination?

    <p>I should wash my hands before handling food.</p> Signup and view all the answers

    Which statement about carbon monoxide exposure demonstrates a correct understanding?

    <p>This toxic gas is colorless and odorless; symptoms can include headache.</p> Signup and view all the answers

    What should the nurse include in the education on preventing vector-borne pathogens?

    <p>Avoid contact with animals that are known to carry diseases.</p> Signup and view all the answers

    When a fire alarm is activated, which intervention should the nurse complete first?

    <p>Rescue the clients.</p> Signup and view all the answers

    What health promotion concept should nurses include in education about immunity?

    <p>Frequent handwashing.</p> Signup and view all the answers

    Which factor identified in the patient's history may impede healing of the fracture?

    <p>Smoking</p> Signup and view all the answers

    Which statement made by a client diagnosed with HIV indicates a need for further teaching?

    <p>I will only need to take HIV medications for 6 months and I will be cured.</p> Signup and view all the answers

    What is an appropriate nursing intervention for a patient with psoriasis?

    <p>Apply corticosteroids as ordered.</p> Signup and view all the answers

    What is the most appropriate response by the nurse when a client asks if letting a wound dry out is better for healing?

    <p>&quot;Wounds heal better when a moist wound bed is maintained.&quot;</p> Signup and view all the answers

    What type of precautions should a nurse initiate for a client with tuberculosis?

    <p>Airborne</p> Signup and view all the answers

    What is the priority intervention for meeting the psychosocial needs of a client on transmission-based precautions?

    <p>Provide the client with diversional activities.</p> Signup and view all the answers

    How should a nurse explain shearing force to a family asking about it concerning a pressure ulcer?

    <p>It occurs when skin moves in one direction while the underlying tissue remains stationary.</p> Signup and view all the answers

    Which nursing action is best to assess whether an obese client can perform frequent dressing changes on their foot?

    <p>Determine if the client can reach the affected area.</p> Signup and view all the answers

    Which action best demonstrates a nurse's collaboration with a folk medicine practitioner in client care?

    <p>Collaboration</p> Signup and view all the answers

    How should the nurse document a pressure injury on the coccyx that reveals bone and tendon at the base?

    <p>Stage IV pressure injury</p> Signup and view all the answers

    Which statement best defines socialization in a client learning to join a church?

    <p>Learning behavior, norms, and values.</p> Signup and view all the answers

    What action is a nurse demonstrating by avoiding offensive behavior while providing hygiene care for an Asian client?

    <p>Cultural safety</p> Signup and view all the answers

    What is the significance of moisture in wound healing, according to nursing practice?

    <p>Moisture enhances cell migration and tissue repair.</p> Signup and view all the answers

    Which intervention is not recommended for managing a pressure ulcer?

    <p>Avoid using pressure-relieving devices.</p> Signup and view all the answers

    Which diagnostic assessment is most appropriate to evaluate central spine involvement in rheumatoid arthritis (RA)?

    <p>Computerized tomography (CT)</p> Signup and view all the answers

    What finding should a nurse expect from a client with rheumatoid arthritis who reports increased joint tenderness and swelling?

    <p>Joint pain at rest</p> Signup and view all the answers

    Which of these presents the most significant risk to toddlers?

    <p>Unattended swimming pool</p> Signup and view all the answers

    Which physiological factor is most likely to affect environmental safety for elderly clients?

    <p>Sensory loss</p> Signup and view all the answers

    Which of the following is categorized as a lifestyle risk factor?

    <p>Smoking</p> Signup and view all the answers

    What laboratory test result is indicative of an infection?

    <p>Elevated white blood cell count</p> Signup and view all the answers

    Which recommendation can best promote the prevention of tissue integrity impairment?

    <p>Ensure protein and vitamin C intake</p> Signup and view all the answers

    What laboratory finding is most likely to indicate delayed wound healing?

    <p>Serum albumin 2.9 g/dL</p> Signup and view all the answers

    What should be included in the teaching plan for a client undergoing a punch biopsy?

    <p>Local anesthesia will be injected.</p> Signup and view all the answers

    Which statement by a client regarding hearing aid care indicates a need for further teaching?

    <p>The hearing aids do not need to be cleaned.</p> Signup and view all the answers

    What action should the nurse delegate to the unlicensed assistive personnel (UAP) after a client's hip replacement?

    <p>Apply an abduction pillow to the client's legs</p> Signup and view all the answers

    Which of the following is an early sign and symptom of rheumatoid arthritis?

    <p>Morning joint stiffness</p> Signup and view all the answers

    Which statement by a client after arthrocentesis indicates the need for further teaching?

    <p>I will ice for the first 4 hours, then use heat after that.</p> Signup and view all the answers

    What nursing intervention should a nurse implement for a client on strict bed rest after surgery?

    <p>Assess the client for pressure injuries</p> Signup and view all the answers

    Encouraging a hospitalized client to bring appropriate foods impacts their cultural health practice in which way?

    <p>Efficacious</p> Signup and view all the answers

    What is the best intervention to prevent integumentary complications in an immobilized client?

    <p>Assist the client with turning every 2 hours</p> Signup and view all the answers

    How should the nurse document the assessment finding of dyspnea during ambulation?

    <p>Shortness of breath</p> Signup and view all the answers

    Which finding indicates that a client on strict bed rest is ready to ambulate?

    <p>Performs active range of motion (ROM) exercises of all extremities</p> Signup and view all the answers

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    Description

    This quiz focuses on critical nursing care questions related to medication therapy for clients with osteoarthritis and other related conditions. It covers patient responses, medication side effects, and interventions, providing a comprehensive overview for nursing professionals. Test your knowledge on patient care, anticoagulants, and non-drug therapies in this field.

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