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WorksheetsMod B final 2
Total questions: 85
Worksheet time: 3hrs 50mins
A patient tells the nurse about using acetaminophen (Tylenol) several times every day for recurrent bilateral headaches. Which action will the nurse plan to take first?
Discuss the need to stop taking the acetaminophen.
Suggest the use of biofeedback for headache control.
Describe the use of botulism toxin (Botox) for headaches.
Teach the patient about magnetic resonance imaging (MRI).
The health care provider is considering the use of sumatriptan (Imitrex) for a 54-yr-old male patient with migraine headaches. Which information obtained by the nurse is most important to report to the health care provider?
The patient drinks 1 to 2 cups of coffee daily.
The patient had a recent acute myocardial infarction.
The patient has had migraine headaches for 30 years.
The patient has taken topiramate (Topamax) for 2 months.
A patient is being treated with carbidopa/levodopa (Sinemet) for Parkinson’s disease. Which information indicates a need for change in the medication or dosage?
Shuffling gait
Tremor at rest
Cogwheel rigidity of limbs
Uncontrolled head movement
Which nursing diagnosis is of highest priority for a patient with Parkinson’s disease who is unable to move the facial muscles?
Activity intolerance
Self-care deficit: toiletin
Ineffective self-health management
Imbalanced nutrition: less than body requirements
After a thymectomy, a patient with myasthenia gravis receives the usual dose of pyridostigmine (Mestinon). An hour later, the patient complains of nausea and severe abdominal cramps. Which action should the nurse take first?
Auscultate the patient’s bowel sounds.
Notify the patient’s health care provider.
Administer the prescribed PRN antiemetic drug.
Give the scheduled dose of prednisone (Deltasone).
Which intervention will the nurse include in the plan of care for a patient with primary restless legs syndrome (RLS) who is having difficulty sleeping?
Teach about the use of antihistamines to improve sleep
Suggest that the patient exercise regularly during the day.
Make a referral to a massage therapist for deep massage of the legs.
Assure the patient that the problem is transient and likely to resolve.
Which intervention will the nurse include in the plan of care for a patient with moderate dementia who had a fractured hip repair 2 days ago?
Provide complete personal hygiene care for the patient.
Remind the patient frequently about being in the hospital.
Reposition the patient frequently to avoid skin breakdown
Place suction at the bedside to decrease the risk for aspiration.
When administering a mental status examination to a patient with delirium, the nurse should
wait until the patient is well-rested.
administer an anxiolytic medication.
choose a place without distracting stimuli.
reorient the patient during the examination.
A patient seen in the outpatient clinic is diagnosed with mild cognitive impairment (MCI). Which action will the nurse include in the plan of care?
Suggest a move into an assisted living facility.
Schedule the patient for more frequent appointments.
Ask family members to supervise the patient’s daily activities.
Discuss the preventive use of acetylcholinesterase medications.
A patient is diagnosed with moderate dementia after multiple strokes. During assessment of the patient, the nurse would expect to find
excessive nighttime sleepiness.
difficulty eating and swallowing.
loss of recent and long-term memory.
fluctuating ability to perform simple tasks.
Which action will help the nurse determine whether a new patient’s confusion is caused by dementia or delirium?
Ask about a family history of dementia.
Administer the Mini-Mental Status Exam.
Use the Confusion Assessment Method tool.
Obtain a list of the patient’s usual medications.
A 72-yr-old patient is brought to the clinic by the patient’s spouse, who reports that the patient is unable to solve common problems around the house. To obtain information about the patient’s current mental status, which question should the nurse ask the patient?
“Are you sad right now?”
“How is your self-image?”
“What did you eat for lunch?”
“Where were you were born?”
A patient is being evaluated for Alzheimer’s disease (AD). The nurse explains to the patient’s adult children that
the most important risk factor for AD is a family history of the disorder.
a diagnosis of AD is made only after other causes of dementia are ruled out.
new drugs have been shown to reverse AD deterioration dramatically in some patients.
brain atrophy detected by magnetic resonance imaging (MRI) would confirm the diagnosis of AD.
A patient who has severe Alzheimer’s disease (AD) is being admitted to the hospital for surgery. Which intervention will the nurse include in the plan of care?
Encourage the patient to discuss events from the past.
Maintain a consistent daily routine for the patient’s care.
Reorient the patient to the date and time every 2 to 3 hours.
Provide the patient with current newspapers and magazines.
The nurse’s initial action for a patient with moderate dementia who develops increased restlessness and agitation should be to
reorient the patient to time, place, and person.
administer a PRN dose of lorazepam (Ativan).
assess for factors that might be causing discomfort.
assign unlicensed assistive personnel (UAP) to stay in the patient’s room.
When administering the Mini-Cog exam to a patient with possible Alzheimer’s disease, which action will the nurse take?
Check the patient’s orientation to time and date.
Obtain a list of the patient’s prescribed medications.
Ask the person to use a clock drawing to indicate a specific time.
Determine the patient’s ability to recognize a common object such as a pen.
Which hospitalized patient will the nurse assign to the room closest to the nurses’ station?
Patient with Alzheimer’s disease who has long-term memory deficit
Patient with vascular dementia who takes medications for depression
Patient with new-onset confusion, restlessness, and irritability after surgery
Patient with dementia who has an abnormal Mini-Mental State Examination
After change-of-shift report on the Alzheimer’s disease/dementia unit, which patient will the nurse assess first?
Patient who has not had a bowel movement for 5 days
Patient who has a stage II pressure ulcer on the coccyx
Patient who is refusing to take the prescribed medications
Patient who developed a new cough after eating breakfast
A patient who has been treated for status epilepticus in the emergency department will be transferred to the medical nursing unit. Which equipment should the nurse have available in the patient’s assigned room (select all that apply)?
Side-rail pads
Tongue blade
Oxygen mask
Suction tubing
Urinary catheter
A patient with Parkinson’s disease is admitted to the hospital for treatment of pneumonia. Which nursing interventions will be included in the plan of care (select all that apply)?
Provide an elevated toilet seat.
Cut patient’s food into small pieces.
Serve high-protein foods at each meal.
Place an armchair at the patient’s bedside.
Observe for sudden exacerbation of symptoms.
The spouse of a 67-yr-old male patient with early stage Alzheimer’s disease (AD) tells the nurse, “I am exhausted from worrying all the time. I don’t know what to do.” Which actions are best for the nurse to take next (select all that apply)?
Suggest that a long-term care facility be considered.
Offer ideas for ways to distract or redirect the patient
Teach the spouse about adult day care as a possible respite.
Suggest that the spouse consult with the physician for antianxiety drugs.
Ask the spouse what she knows and has considered about dementia care options.
Which actions could the nurse delegate to a licensed practical/vocational nurse (LPN/LVN) who is part of the team caring for a patient with Alzheimer’s disease (select all that apply)?
Develop a plan to minimize difficult behavior.
Administer the prescribed memantine (Namenda).
Remove potential safety hazards from the patient’s environment.
Refer the patient and caregivers to appropriate community resources.
Help the patient and caregivers choose memory enhancement methods.
A patient complains of shoulder pain when the nurse moves the patient’s arm behind the back. Which question should the nurse ask?
“Are you able to feed yourself without difficulty?”
“Do you have difficulty when you are putting on a shirt?”
“Are you able to sleep through the night without waking?”
“Do you ever have trouble lowering yourself to the toilet?”
The nurse who notes that a 59-yr-old female patient has lost 1 inch in height over the past 2 years will plan to teach the patient abou
discography studies
myelographic testing.
magnetic resonance imaging (MRI).
dual-energy x-ray absorptiometry (DXA).
Which information obtained during the nurse’s assessment of a patient’s nutritional-metabolic pattern may indicates increased risk for musculoskeletal problems?
The patient takes a multivitamin daily.
The patient dislikes fruits and vegetables.
The patient is 5 ft, 2 in tall and weighs 180 lb.
The patient prefers whole milk to nonfat milk.
Which medication information will the nurse identify as a potential risk to a patient’s musculoskeletal system?
The patient takes a daily multivitamin and calcium supplement.
The patient takes hormone replacement therapy (HRT) to prevent “hot flashes.”
The patient has severe asthma requiring frequent therapy with oral corticosteroids.
The patient has headaches treated with nonsteroidal antiinflammatory drugs (NSAIDs).
The nurse finds that a patient can flex the arms when no resistance is applied but is unable to flex when the nurse applies light resistance. The nurse should document the patient’s muscle strength as level
0.
1.
2.
3.
After completing the health history, the nurse assessing the musculoskeletal system will begin by
having the patient move the extremities against resistance.
feeling for the presence of crepitus during joint movement.
observing the patient’s body build and muscle configuration
checking active and passive range of motion for the extremities.
Which information will the nurse teach seniors at a community recreation center about ways to prevent fractures?
Tack down scatter rugs in the home.
Expect most falls to happen outside the home.
Buy shoes that provide good support and are comfortable to wear.
Get instruction in range-of-motion exercises from a physical therapist.
The occupational health nurse will teach the patient whose job involves many hours of typing to
obtain a keyboard pad to support the wrist.
do stretching exercises before starting work.
wrap the wrists with compression bandages every morning.
avoid using nonsteroidal antiinflammatory drugs (NSAIDs) for pain.
A tennis player has an arthroscopic repair of a rotator cuff injury performed in same-day surgery. When the nurse plans postoperative teaching for the patient, which information will be included?
“You will not be able to serve a tennis ball again.”
“You will begin work with a physical therapist tomorrow.”
“Keep the shoulder immobilizer on for the first 4 days to minimize pain.”
“The surgeon will use the drop-arm test to determine the success of surgery.”
The nurse will instruct the patient with a fractured left radius that the cast will need to remain in place
for several months.
for at least 3 weeks.
until swelling of the wrist has resolved.
until x-rays show complete bony union.
A patient has a long-arm plaster cast applied for fracture immobilization. Until the cast has completely dried, the nurse should
keep the left arm in dependent position.
avoid handling the cast using fingertips.
place gauze around the cast edge to pad any roughness.
cover the cast with a small blanket to absorb the dampness.
A patient who is to have no weight bearing on the left leg is learning to walk using crutches. Which observation by the nurse indicates the patient can safely ambulate independently?
The patient moves the right crutch with the right leg and then the left crutch with the left leg.
The patient advances the left leg and both crutches together and then advances the right leg.
The patient uses the bedside chair to assist in balance as needed when ambulating in the room.The patient keeps the padded area of the crutch firmly in the axillary area when ambulating.
The patient keeps the padded area of the crutch firmly in the axillary area when ambulating.
A patient who has had open reduction and internal fixation (ORIF) of left lower leg fractures continues to complain of severe pain in the leg 15 minutes after receiving the prescribed IV morphine. Pulses are faintly palpable and the foot is cool to the touch. Which action should the nurse take next?
Notify the health care provider.
Assess the incision for redness.
Reposition the left leg on pillows.
Check the patient’s blood pressure.
A patient with a complex pelvic fracture from a motor vehicle crash is on bed rest. Which nursing assessment finding indicates a potential complication of the fracture?
The patient states the pelvis feels unstable.
Abdomen is distended and bowel sounds are absent
The patient complains of pelvic pain with palpation.
Ecchymoses are visible across the abdomen and hips.
A patient with a right lower leg fracture will be discharged home with an external fixation device in place. Which information will the nurse teach?
“Check and clean the pin insertion sites daily.”
“Remove the external fixator for your shower.”
“Remain on bed rest until bone healing is complete.”
“Take prophylactic antibiotics until the fixator is removed.”
The nurse’s discharge teaching for a patient who has had a repair of a fractured mandible will include information about
administration of nasogastric tube feedings.
how and when to cut the immobilizing wires.
the importance of high-fiber foods in the diet.
the use of sterile technique for dressing changes.
The day after a having a right below-the-knee amputation, a patient complains of pain in the missing right foot. Which action is most important for the nurse to take?
Explain the reasons for the pain.
Administer prescribed analgesics.
Reposition the patient to assure good alignment.
Inform the patient that this pain will diminish over time.
Which statement by a patient who has had an above-the-knee amputation indicates the nurse’s discharge teaching has been effective?
“I should elevate my residual limb on a pillow 2 or 3 times a day.”
“I should lie flat on my abdomen for 30 minutes 3 or 4 times a day.”
“I should change the limb sock when it becomes soiled or each week.”
“I should use lotion on the stump to prevent skin drying and cracking.”
The nurse is caring for a patient who is to be discharged from the hospital 4 days after insertion of a femoral head prosthesis using a posterior approach. Which statement by the patient indicates a need for additional instruction?
“I should not cross my legs while sitting.”
“I will use a toilet elevator on the toilet seat.”
“I will have someone else put on my shoes and socks.”
“I can sleep in any position that is comfortable for me.”
Which action will the nurse include in the plan of care for a patient who had a cemented right total knee arthroplasty?
Avoid extension of the right knee beyond 120 degrees.
Use a compression bandage to keep the right knee flexed.
Teach about the need to avoid weight bearing for 4 weeks.
Start progressive knee exercises to obtain 90-degree flexion.
A high school teacher with ulnar drift caused by rheumatoid arthritis (RA) is scheduled for arthroplasty of several joints in the left hand. Which patient statement to the nurse indicates a realistic expectation for the surgery?
“This procedure will correct the deformities in my fingers.”
“I will not have to do as many hand exercises after the surgery.”
“I will be able to use my fingers with more flexibility to grasp things.”
“My fingers will appear more normal in size and shape after this surgery.”
A patient is being discharged 4 days after hip arthroplasty using the posterior approach. Which patient action requires intervention by the nurse?
The patient uses crutches with a swing-to gait.
The patient leans over to pull on shoes and socks.
The patient sits straight up on the edge of the bed.
The patient bends over the sink while brushing teeth.
A patient arrived at the emergency department after tripping over a rug and falling at home. Which finding is most important for the nurse to communicate to the health care provider?
There is bruising at the shoulder area.
The patient reports arm and shoulder pain.
The right arm appears shorter than the left.
There is decreased shoulder range of motion.
A young adult arrives in the emergency department with ankle swelling and severe pain after twisting an ankle playing basketball. Which of these prescribed interprofessional interventions will the nurse implement first?
Send the patient for ankle x-rays.
Wrap the ankle and apply an ice pack.
Administer naproxen (Naprosyn) 500 mg PO.
Give acetaminophen with codeine (Tylenol #3).
Which nursing action for a patient who has had right hip arthroplasty can the nurse delegate to experienced unlicensed assistive personnel (UAP)?
Reposition the patient every 1 to 2 hours.
Assess for skin irritation on the patient’s back.
Teach the patient quadriceps-setting exercises.
Determine the patient’s pain intensity and tolerance.
A patient who arrives at the emergency department experiencing severe left knee pain is diagnosed with a patellar dislocation. The initial patient teaching by the nurse will focus on the need for
a knee immobilizer.
gentle knee flexion.
monitored anesthesia care.
physical activity restrictions.
A pedestrian who was hit by a car is admitted to the emergency department with possible right lower leg fractures. The initial action by the nurse should be to
elevate the right leg.
splint the lower leg.
assess the pedal pulses.
verify tetanus immunization
The day after a 60-yr-old patient has open reduction and internal fixation (ORIF) for an open, displaced tibial fracture, the nurse identifies the priority nursing diagnosis as
activity intolerance related to deconditioning.
risk for constipation related to prolonged bed rest.
risk for impaired skin integrity related to immobility.
risk for infection related to disruption of skin integrity.
The second day after admission with a fractured pelvis, a patient suddenly develops confusion. Which action should the nurse take first?
Take the blood pressure.
Assess patient orientation.
Check the O2 saturation.
Observe for facial asymmetry.
A patient undergoes left above-the-knee amputation with an immediate prosthetic fitting. When the patient arrives on the orthopedic unit after surgery, the nurse should
assess the surgical site for hemorrhage.
remove the prosthesis and wrap the site.
place the patient in a side-lying position.
keep the residual limb elevated on a pillow.
Before assisting a patient with ambulation 2 days after total hip arthroplasty, which action is most important for the nurse to take?
Observe output from the surgical drain.
Administer prescribed pain medication.
Instruct the patient about benefits of early ambulation.
Change the dressing and document the wound appearance.
Which information obtained by the nurse about a patient with a lumbar vertebral compression fracture requires an immediate report to the health care provider?
Patient refuses to be turned due to back pain.
Patient has been incontinent of urine and stool.
Patient reports lumbar area tenderness to palpation.
Patient frequently uses oral corticosteroids to treat asthma.
After change-of-shift report, which patient should the nurse assess first?
Patient with a repaired mandibular fracture who is complaining of facial pain
Patient with an unrepaired intracapsular left hip fracture whose leg is externally rotated
Patient with an unrepaired Colles’ fracture who has right wrist swelling and deformity
Patient with repaired right femoral shaft fracture who is complaining of tightness in the calf
When caring for a patient who is using Buck’s traction after a hip fracture, which action can the nurse delegate to unlicensed assistive personnel (UAP)?
Remove and reapply traction periodically.
Ensure the weight for the traction is hanging freely.
Monitor the skin under the traction boot for redness.
Check for intact sensation and movement in the affected leg.
Based on the information in the accompanying figure obtained for a patient in the emergency room, which action will the nurse take first?
Administer the prescribed morphine 4 mg IV.
Contact the operating room to schedule surgery.
Check the patient’s O2 saturation using pulse oximetry.
Ask the patient about the date of the last tetanus immunization.
The nurse instructs a patient who has osteosarcoma of the tibia about a scheduled above-the-knee amputation. Which statement by a patient indicates additional patient teaching is needed?
“I will need to participate in physical therapy after surgery.”
“I wish I did not need to have chemotherapy after this surgery.”
“I did not have this bone cancer until my leg broke a week ago.”
“I can use the patient-controlled analgesia (PCA) to manage postoperative pain.”
An appropriate nursing intervention for a patient who has acute low back pain and muscle spasms is to teach the patient to
keep both feet flat on the floor when prolonged standing is required.
twist gently from side to side to maintain range of motion in the spine.
keep the head elevated slightly and flex the knees when resting in bed.
avoid the use of cold packs because they will exacerbate the muscle spasms.
An assessment finding for a 55-yr-old patient that alerts the nurse to the presence of osteoporosis is
bowed legs.
a loss of height
the report of frequent falls.
an aversion to dairy products.
Which menu choice by a patient with osteoporosis indicates the nurse’s teaching about appropriate diet has been effective
Pancakes with syrup and bacon
Whole wheat toast and fresh fruit
Egg-white omelet and a half grapefruit
Oatmeal with skim milk and fruit yogurt
The nurse evaluating effectiveness of prescribed calcitonin and ibandronate (Boniva) for a patient with Paget’s disease will consider the patient’s
oral intake.
daily weight.
grip strength.
pain intensity.
After laminectomy with a spinal fusion to treat a herniated disc, a patient reports numbness and tingling of the right lower leg. The first action the nurse should take is to
report the patient’s complaint to the surgeon.
check the chart for preoperative assessment data.
check the vital signs for indications of hemorrhage.
turn the patient to the left to relieve pressure on the right leg.
When administering alendronate (Fosamax) to a patient with osteoporosis, the nurse will
ask about any leg cramps or hot flashes.
assist the patient to sit up at the bedside.
be sure that the patient has recently eaten.
administer the ordered calcium carbonate.
Which nursing action included in the care of a patient after laminectomy can the nurse delegate to experienced unlicensed assistive personnel (UAP)?
Check ability to plantar and dorsiflex the foot.
Determine the patient’s readiness to ambulate.
Log roll the patient from side to side every 2 hours
Ask about pain management with the patient-controlled analgesia (PCA).
Which action will the nurse take first when a patient is seen in the outpatient clinic with neck pain?
Provide information about therapeutic neck exercises.
Ask about numbness or tingling of the hands and arms.
Suggest the patient alternate the use of heat and cold to the neck.
Teach about the use of nonsteroidal antiinflammatory drugs (NSAIDs).
A nurse who works on the orthopedic unit has just received change-of-shift report. Which patient should the nurse assess first?
Patient who reports foot pain after hammertoe surgery
Patient who has not voided 10 hours after a laminectomy
Patient with low back pain and a positive straight-leg-raise test
Patient with osteomyelitis who has a temperature of 100.5° F (38.1° C)
Which finding will the nurse expect when assessing a patient who has osteoarthritis (OA) of the knee?
Presence of Heberden’s nodules
Discomfort with joint movement
Redness and swelling of the knee joint
Stiffness that increases with movement
Which assessment finding for a patient using naproxen (Naprosyn) to treat osteoarthritis is likely to require a change in medication?
The patient has gained 3 lb.
The patient has dark-colored stools.
The patient’s pain affects multiple joints.
The patient uses capsaicin cream (Zostrix).
After the nurse has finished teaching a patient with osteoarthritis (OA) of the right hip about how to manage the OA, which patient statement indicates a need for more teaching?
“I can exercise every day to help maintain joint motion.”
“I will take 1 g of acetaminophen (Tylenol) every 4 hours.”
“I will take a shower in the morning to help relieve stiffness.”
“I can use a cane to decrease the pressure and pain in my hip.”
Which information will the nurse include when preparing teaching materials for a patient with an exacerbation of rheumatoid arthritis?
Affected joints should not be exercised when pain is present.
Applying cold packs before exercise may decrease joint pain.
Exercises should be performed passively by someone other than the patient.
Walking may substitute for range-of-motion (ROM) exercises on some days
The nurse teaching a support group of women with rheumatoid arthritis (RA) about how to manage activities of daily living suggests they should
avoid activities requiring repetitive use of the same muscles and joints
avoid activities requiring repetitive use of the same muscles and joints
stand rather than sit when performing daily household and yard chores.
strengthen small hand muscles by wringing out sponges or washcloths.
Anakinra (Kineret) is prescribed for a patient with rheumatoid arthritis (RA). When teaching the patient about this drug, the nurse will include information about
avoiding concurrent aspirin use.
symptoms of gastrointestinal (GI) bleeding.
self-administration of subcutaneous injections.
taking the medication with at least 8 oz of fluid.
Which information will the nurse include when teaching a patient with newly diagnosed ankylosing spondylitis (AS) about management of the condition?
Exercise by taking long walks.
Do daily deep-breathing exercises.
Sleep on the side with hips flexed
Take frequent naps during the day
A patient hospitalized with a fever and red, hot, painful knees is suspected of having septic arthritis. Information obtained during the nursing history that indicates a risk factor for septic arthritis is that the patient
had several knee injuries as a teenager.
recently returned from South America.
is sexually active with multiple partners.
has a parent who has rheumatoid arthritis.
A patient reporting painful urination and knee pain is diagnosed with reactive arthritis. The nurse will plan to teach the patient about the need for several months of therapy with
methotrexate
anakinra (Kineret)
etanercept (Enbrel).
doxycycline (Vibramycin).
The nurse determines that colchicine has been effective for a patient with an acute attack of gout upon finding
reduced joint pain.
increased urine output.
elevated serum uric acid.
increased white blood cells (WBC).
Which statement by a patient with systemic lupus erythematosus (SLE) indicates the patient has understood the nurse’s teaching about the condition?
“I will exercise even if I am tired.”
“I will use sunscreen when I am outside.”
“I should avoid nonsteroidal antiinflammatory drugs.”
“I should take birth control pills to avoid getting pregnant.”
A 25-yr-old female patient with systemic lupus erythematosus (SLE) who has a facial rash and alopecia tells the nurse, “I never leave my house because I hate the way I look.” The nurse will plan interventions with the patient to address the nursing diagnosis of
social isolation.
activity intolerance.
impaired skin integrity.
impaired social interaction.
A new clinic patient with joint swelling and pain is being tested for systemic lupus erythematosus. Which test will provide the most specific findings for the nurse to review?
Rheumatoid factor (RF)
Antinuclear antibody (ANA)
Anti-Smith antibody (Anti-Sm)
Lupus erythematosus (LE) cell prep
The health care provider has prescribed the following interventions for a patient who is taking azathioprine (Imuran) for systemic lupus erythematosus. Which order will the nurse question?
Draw anti-DNA blood titer.
Administer varicella vaccine.
Naproxen (Aleve) 200 mg BID.
Famotidine (Pepcid) 20 mg daily.
The nurse determines additional instruction is needed when a patient diagnosed with scleroderma makes which statement?
“Paraffin baths can be used to help my hands.”
“I should lie down for an hour after each meal.”
“Lotions will help if I rub them in for a long time.”
“I should perform range-of-motion exercises daily.”
When the nurse brings medications to a patient with rheumatoid arthritis, the patient refuses the prescribed methotrexate. The patient tells the nurse, “My arthritis isn’t that bad yet. The side effects of methotrexate are worse than the arthritis.” The most appropriate response by the nurse is
“You have the right to refuse to take the methotrexate.”
“Methotrexate is less expensive than some of the newer drugs.”
“It is important to start methotrexate early to decrease the extent of joint damage.”
“Methotrexate is effective and has fewer side effects than some of the other drugs.”
Which assessment information obtained by the nurse indicates a patient with an exacerbation of rheumatoid arthritis (RA) is experiencing a side effect of prednisone?
The patient has joint pain and stiffness.
The patient’s blood glucose is 165 mg/dL.
The patient has experienced a recent 5-pound weight loss.
The patient’s erythrocyte sedimentation rate (ESR) has increased.
The home health nurse is making a follow-up visit to a patient with recently diagnosed rheumatoid arthritis (RA). Which assessment made by the nurse indicates more patient teaching is needed?
The patient takes a 2-hour nap each day.
The patient has been taking 16 aspirins each day.
The patient sits on a stool while preparing meals.
The patient sleeps with two pillows under the head.
