HESI Case Study Rheumatoid Arthritis
with Joint Arthroplasty
Which nursing intervention related to the scheduled bone scan is most important to
implement?
Correct answer- Inform Terry that radioisotope will be administered 2 hours before the
procedure.
Which etiologic factor is related to the onset of rheumatoid arthritis?
Correct answer- Genetic predisposition.
The nurse completes an assessment of Terry. In addition to the bilateral swollen tender
joints, weight loss, and fatigue, what additional manifestations of RA might Terry
exhibit?
Correct answer- Joints tender, painful, and warm to the touch.
Fever
Swan neck deformity of fingers.
Bilateral symmetric joint involvement.
Which assessment findings may indicate aspirin toxicity?
Correct answer- Headache and confusion.
Hyperventilation and agitation.
Which adverse effect of methotrexate places Terry at the highest risk for infection?
Correct answer- Leukopenia.
Which information should be included when teaching Terry how to manage her chronic
pain?
Correct answer- Protect joints from stress.
Alternate scheduled rest period with activity throughout the day.
Terry is experiencing impaired mobility. Which nursing intervention is best to implement
for this nursing diagnosis?
Correct answer- Advise Terry to take a hot shower in the morning to prevent morning
stiffness.
Which nursing intervention will promote improved coping for Terry?
with Joint Arthroplasty
Which nursing intervention related to the scheduled bone scan is most important to
implement?
Correct answer- Inform Terry that radioisotope will be administered 2 hours before the
procedure.
Which etiologic factor is related to the onset of rheumatoid arthritis?
Correct answer- Genetic predisposition.
The nurse completes an assessment of Terry. In addition to the bilateral swollen tender
joints, weight loss, and fatigue, what additional manifestations of RA might Terry
exhibit?
Correct answer- Joints tender, painful, and warm to the touch.
Fever
Swan neck deformity of fingers.
Bilateral symmetric joint involvement.
Which assessment findings may indicate aspirin toxicity?
Correct answer- Headache and confusion.
Hyperventilation and agitation.
Which adverse effect of methotrexate places Terry at the highest risk for infection?
Correct answer- Leukopenia.
Which information should be included when teaching Terry how to manage her chronic
pain?
Correct answer- Protect joints from stress.
Alternate scheduled rest period with activity throughout the day.
Terry is experiencing impaired mobility. Which nursing intervention is best to implement
for this nursing diagnosis?
Correct answer- Advise Terry to take a hot shower in the morning to prevent morning
stiffness.
Which nursing intervention will promote improved coping for Terry?
