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 (B)</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 (A)</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 (B)</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 (B)</p> Signup and view all the answers

Which of the following statements regarding osteoarthritis medication is incorrect?

<p>Medications can cure the underlying disease. (B)</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. (C)</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. (B)</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. (B)</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. (B)</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. (A)</p> Signup and view all the answers

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

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

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

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

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

<p>Smoking (C), Osteoporosis (D)</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. (A), I can stop my HIV medications if my viral load is undetectable. (D)</p> Signup and view all the answers

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

<p>Apply corticosteroids as ordered. (C)</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; (D)</p> Signup and view all the answers

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

<p>Airborne (A)</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. (C)</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. (C)</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. (A)</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 (A)</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 (A)</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. (D)</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 (B)</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. (C)</p> Signup and view all the answers

Which intervention is not recommended for managing a pressure ulcer?

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

Which of these presents the most significant risk to toddlers?

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

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

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

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

<p>Smoking (C)</p> Signup and view all the answers

What laboratory test result is indicative of an infection?

<p>Elevated white blood cell count (C)</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 (C)</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 (D)</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. (B)</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. (C)</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 (D)</p> Signup and view all the answers

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

<p>Morning joint stiffness (A)</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. (A)</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 (A)</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 (D)</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 (C)</p> Signup and view all the answers

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

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

Flashcards

Which factor impedes fracture healing?

A condition that weakens bones and increases fracture risk.

How do wounds heal best?

The process of a wound healing in a moist environment.

What is shearing force?

A specialized type of skin injury caused by friction between skin and a surface, often seen in bedridden patients.

What stage is a pressure injury with visible bone?

A pressure injury where bone and tendon are visible.

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What is psoriasis?

A skin condition characterized by red, scaly patches.

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What is an appropriate intervention for psoriasis?

Corticosteroids are medications used to reduce inflammation.

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How to assess a client's ability to change dressings?

Assess the client's ability to reach the affected area to determine if they can perform the task themselves.

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What is a Stage IV pressure injury?

A pressure injury that extends into the subcutaneous tissue, exposing muscle, tendon, or bone.

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Can a pressure injury be classified as "Superficial skin board getting pinched that is irritated and swollen?"

This is not a valid stage for pressure injuries. The provided description suggests a Stage IV pressure injury.

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How to reduce fall risk in hospital room?

Identifying and describing the location of objects in the client's room to enhance their awareness and reduce the risk of falling.

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Intervention for dry eyes?

Applying artificial tears to the client's eyes as prescribed to relieve dryness.

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Key principle for food safety?

Ensuring the client understands the importance of handwashing before handling food to prevent cross-contamination.

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What makes carbon monoxide dangerous?

Informing the client about carbon monoxide being colorless, odorless, and causing symptoms like headaches.

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How to prevent vector-borne pathogens?

Educating the client on how to prevent vector-borne pathogens by avoiding contact with animals that can carry diseases.

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First action in a fire emergency?

Prioritizing the rescue of clients in the event of a fire alarm, as their safety is paramount.

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Key practice for immunity?

Emphasizing the importance of frequent handwashing as a fundamental pillar of health promotion and immunity.

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What statement by an HIV patient requires further teaching?

A statement made by an HIV-positive client that indicates they do not fully understand the need for lifelong medication.

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What precautions are used for tuberculosis?

The most effective method to contain the spread of tuberculosis.

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What's the priority intervention for psychosocial needs with transmission-based precautions?

The nursing intervention that prioritizes a client's social and emotional needs while they are on transmission-based precautions.

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What action demonstrates advocacy?

The nurse's action when advocating for a client's needs while collaborating with a traditional healer.

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What is socialization?

The process of learning societal norms, values, and behaviors.

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What actions demonstrate cultural awareness?

The nurse's action to avoid causing offense while providing care for an Asian client.

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What diagnostic test reveals spine involvement in rheumatoid arthritis?

A diagnostic test used to assess spine involvement in rheumatoid arthritis.

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What physical findings are expected with increased RA joint inflammation?

Expected findings in a client with rheumatoid arthritis experiencing increased joint tenderness and swelling.

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Methotrexate and Pregnancy

Methotrexate is a medication used to treat certain cancers and autoimmune disorders. However, it is not safe to take during pregnancy because it can cause birth defects. A woman should wait at least 3 months after stopping methotrexate before attempting to get pregnant.

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Goal of OA Medications

The primary goal of medication therapy for osteoarthritis is to reduce pain and inflammation. It does not cure the disease, and while it can help slow down joint damage it won't promote bone growth.

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Anticoagulants and Hip Surgery

Anticoagulants are medications that thin the blood to prevent clots. They are usually stopped before surgery to reduce the risk of bleeding during and after the procedure.

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Celecoxib and Side Effects

Celecoxib is a nonsteroidal anti-inflammatory drug (NSAID) commonly used to treat pain and inflammation associated with osteoarthritis. One potential negative side effect to watch out for is dark tarry stools, which may indicate bleeding in the stomach or intestines.

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Leflunomide and Side Effects

Leflunomide is an antirheumatic medication used to treat rheumatoid arthritis. A potential serious side effect is a decrease in white blood cells, which can increase the risk of infections.

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Non-drug Therapy for RA

When a client has rheumatoid arthritis and is interested in non-drug therapies, consider options like chamomile tea for calming, topical pain relief gels for localized pain, massage therapy for muscle relaxation, and self-management techniques.

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Fractured Femur

A fractured femur is a serious injury that often requires surgery and subsequent rehabilitation. The client's health history is crucial in guiding treatment and care plans.

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Rheumatoid Arthritis

Rheumatoid arthritis is an autoimmune disease where the body's immune system attacks the joints, causing inflammation, stiffness, and pain. It is a chronic condition with no cure, but treatment aims to control symptoms and prevent joint damage.

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Toddler Safety: Greatest Danger

Unattended swimming pools pose the most significant danger for toddlers.

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Elderly Safety: Physiological Factors

Sensory loss, such as impaired vision or hearing, can increase an elderly client's risk of environmental hazards.

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Lifestyle Risk Factors

Lifestyle choices like smoking and obesity significantly contribute to health risks and contribute to environmental safety concerns.

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Infection Indicator: Lab Result

Elevated white blood cell count is a common indicator of an infection, reflecting the body's immune response.

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Preventing Tissue Impairment: Nurse Role

Maintaining good handwashing techniques is crucial in preventing the spread of infections and promoting tissue integrity.

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Delayed Wound Healing: Lab Result

A low serum albumin level (below 2.9 g/dL) signals inadequate protein in the body, which can hinder wound healing.

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Punch Biopsy Procedure

A punch biopsy involves injecting local anesthesia to numb the area before taking a small tissue sample, usually performed in an outpatient setting.

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Viral Culture Collection

Collecting fluid from a vesicle (blister) is crucial for identifying a virus. It's typically done with a swab and placed in a culture tube.

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What action can be delegated to a UAP for a post-hip replacement client?

Applying an abduction pillow to keep the legs apart and prevent hip dislocation after hip replacement surgery.

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What is an early sign of rheumatoid arthritis?

Morning stiffness and joint pain, especially in the morning, are early signs of rheumatoid arthritis.

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What statement by a client after arthrocentesis needs further teaching?

Clients should report increased pain and swelling after arthrocentesis, as it could indicate complications or infection.

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What nursing intervention is essential for clients on strict bed rest?

Assessing for pressure injuries is a crucial nursing intervention for clients on strict bed rest to prevent skin breakdown.

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What effect does encouraging culturally appropriate food choices have on a client's cultural health practice?

Allowing clients to bring in culturally appropriate foods supports their cultural health practices and promotes well-being.

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What is the best intervention to prevent skin breakdown in an immobilized client?

Turning the client every 2 hours helps to prevent skin breakdown and integumentary complications.

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How should the nurse document dyspnea during ambulation?

Dyspnea, or shortness of breath, should be documented concisely and accurately.

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What finding indicates a client on bed rest is ready to ambulate?

Active range of motion (ROM) exercises of all extremities indicate the client has sufficient muscle strength and mobility to support ambulation.

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Study Notes

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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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