NUR 242 STUDENT FRIENDLY MEDICAL EXAM QUESTIONS AND ANSWERS GRADED A+| LATEST EXAMS!

An older client is admitted to a nursing home. The client is incontinent of urine. The client's rheumatoid arthritis contributes to severely painful joints. Which client need would the nurse identify as the primary consideration in the care of this client? - Answer Relief of pain A client with severe chronic rheumatoid arthritis reports that pain lasts for 2 to 3 hours after exercising. Which information would the nurse teach the client? - Answer Decrease the time and number of exercise repetitions Which intervention would the nurse teach the client who has rheumatoid arthritis to alternate with periods of rest? - Answer Active exercises Which laboratory test would the nurse review for a client suspected to have rheumatoid arthritis? - Answer Antinuclear antibody After a painful exacerbation of rheumatoid arthritis, a client is scheduled to begin a walking and exercise program. Which statements describes an expected outcome for this client? - Answer Exercise and be active unless the discomfort becomes too great. When would the nurse expect the client who has rheumatoid arthritis to experience the most joint pain and stiffness? - Answer In the morning on awakening Which factor explains why a client who experiences an acute episode of rheumatoid arthritis has swollen finger joints? - Answer Inflammation in the joint's synovial lining Which type of diet would the nurse expect the primary health care provider to prescribe for a client diagnosed with rheumatoid arthritis? - Answer Regular diet with vitamins and minerals A client who has passed the acute phase of rheumatoid arthritis is to be out of bed as tolerated. Which type of chair would the nurse use to position the client? - Answer Straight-back armchair Which suggestion would the nurse make to a client with rheumatoid arthritis who asks about ways to decrease morning stiffness? - Answer Take a hot bath or shower in the morning. (Moist heat increases circulation and decreases muscle tension, which help relieve chronic stiffness. Although wearing loose but warm clothing is advisable for someone with arthritis, it does not relieve morning stiffness. Inactivity promotes stiffness. The practice of avoiding excessive physical stress and fatigue is related to muscle fatigue, not to stiffness of joints) The parents of a child with juvenile idiopathic arthritis ask the nurse why their child is not receiving steroid therapy when it is so effective for adults with rheumatoid arthritis. Which response by the nurse is most appropriate? - Answer Steroids could affect growth." Which action by a client taking immunosuppressant medication for rheumatoid arthritis indicates to the nurse the need for additional teaching? - Answer Attends crowded sporting events A client with an acute exacerbation of rheumatoid arthritis is in severe pain and tells the nurse, "The only time I am pain free is when I lie perfectly still." Which complication would the nurse explain that could be prevented by daily exercise? - Answer Shortening of the muscles (Flexion and extension prevent tightening of muscles and tendons. Abnormal sensations (paresthesias) are related to neurological, not musculoskeletal, alterations. Weight bearing, not exercise, promotes the development of osteoblasts. Loss of muscular coordination is the result of cerebellar changes; it is not related to immobility) Which long-term outcome would be appropriate for a client with severe rheumatoid arthritis who becomes depressed and is admitted to the psychiatric unit? - Answer Decreases negative thinking about self, others, and life A client with painful swelling of a distal joint of the ring finger is diagnosed with the early stages of rheumatoid arthritis (RA). A test for the rheumatoid factor is negative. The client asks about the reliability of the test. Which response would the nurse provide? - Answer Laboratory tests often are negative in the early stages of the disease A client with rheumatoid arthritis is to begin taking ibuprofen 800 mg by mouth three times a day. The nurse provides education about the medication's side effects. The nurse concludes that the teaching was effective when the client makes which statements? Select all that apply. One, some, or all responses may be correct. - Answer I need to report any dark tarry stools, I'll need to stop meds before any scheduled surgery Which medication would the nurse anticipate the health care provider will prescribe to relieve the pain experienced by a client with rheumatoid arthritis? - Answer Aspirin Aspirin is prescribed on a regular schedule for a client with rheumatoid arthritis. The nurse understands that the medication is being used primarily for which property? - Answer Anti-inflammatory A client with rheumatoid arthritis asks the nurse why it is necessary to inject hydrocortisone into the knee joint. Which reason would the nurse include in a response to this question? - Answer Reduces inflammation A client with rheumatoid arthritis has been taking a corticosteroid medication for the past year. Prolonged use of corticosteroids puts this client at increased risk for which complication? - Answer Decreased white blood cells A married older adult couple lives independently and has three adult children. The husband, who is alert but forgetful, has an enlarged prostate with infrequent urinary incontinence. The wife has diabetes mellitus, rheumatoid arthritis, and walks with difficulty. The nurse identified the couple's need for assistance with bathing, dressing, and meal preparation. Which option would the nurse suggest, which best meets the needs of this couple? - Answer Keep the couple in their home and schedule assistance with a home health aide. A client, who is currently taking digoxin 0.125 mg in the morning and alprazolam 0.5 mg twice a day, is prescribed donepezil 5 mg daily for early dementia of the Alzheimer type. Which instruction would the nurse include when teaching the client's spouse about medication administration? - Answer Prefill a weekly medication box with the medications for the client to self-administer." The nurse teaches a client's family about the administration of donepezil for treatment of dementia of the Alzheimer type. Which side effect identified by the caregiver indicates to the nurse that further teaching is needed? - Answer Constipation Which description is correct for Alzheimer disease? - Answer Is a slow, relentless deterioration of the mind Which signs and symptoms are characteristic of Alzheimer dementia? Select all that apply. One, some, or all responses may be correct. - Answer Forgetfulness, expressive aphasia A client with stage 1 Alzheimer begins to demonstrate aphasia. Which intervention will the nurse use? - Answer Allow extra time for client to verbalize needs and thoughts. In comparing assessment findings in clients with vascular dementia and dementia of the Alzheimer type, which factor is unique to vascular dementia? - Answer Abrupt onset of symptoms The client, who has severe Alzheimer dementia, can no longer recognize familiar objects such as glasses and toothbrush. Which term describes this situation? - Answer agnosia Agnosia - Answer loss of ability to recognize importance of sensory impressions amnesia - Answer Amnesia is the term for the impairment of memory, both recent and remote. aphasia - Answer Aphasia is the term for the loss of language ability, which progresses with the disease Apraxia - Answer Apraxia is the term for the loss of purposeful movement in the absence of motor or sensory impairment. The individual is unable to perform purposeful tasks such as walking or putting clothing on properly. Which signs and symptoms are the "four A's" of Alzheimer disease? - Answer Amnesia, apraxia, agnosia, aphasia Which description of symptoms is consistent with dementia of the Alzheimer type? - Answer Symptoms reflect progressive disintegration...