NURS 4110 ATI MED SURG SURG TEST 2 GUIDE

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1. Osteoarthritis patient education Chapter 39 # 11  A patient is undergoing diagnostic testing to determine the etiology of recent joint pain. The patient asks the nurse about the difference bet... ween osteoarthritis (OA) and rheumatoid arthritis (RA). What is the best response by the nurse? o ìOA is a considered a noninflammatory joint disease. RA is characterized by inflamed, swollen joints.î 2. Rheumatoid arthritis (RA)- home care/ intervention Chapter 39 #19, 27, 35, 36  A nurse is planning patient education for a patient being discharged home with a diagnosis of rheumatoid arthritis. The patient has been prescribed antimalarials for treatment, so the nurse knows to teach the patient to self-monitor for what adverse effect? o Visual changes  A community health nurse is performing a visit to the home of a patient who has a history of rheumatoid arthritis (RA). On what aspect of the patient's health should the nurse focus most closely during the visit? o The patient's functional status  A clinic nurse is caring for a patient diagnosed with rheumatoid arthritis (RA). The patient tells the nurse that she has not been taking her medication because she usually cannot remove the childproof medication lids. How can the nurse best facilitate the patient's adherence to her medication regimen? o Encourage her to have her pharmacy replace the tops with alternatives that are easier to open.  A nurse's plan of care for a patient with rheumatoid arthritis includes several exercise-based interventions. Exercises for patients with rheumatoid disorders should have which of the following goals? o Preserve and increase range of motion while limiting joint stress 3. Osteoarthritis risk factors Chapter 39 # 10  A nurse is assessing a patient for risk factors known to contribute to osteoarthritis. What assessment finding would the nurse interpret as a risk factor? o The patient's body mass index is 34 (obese). 4. Systemic Lupus Erythematosus (SLE) manifestations Chapter 39 # 3, 38  A nurse is performing the initial assessment of a patient who has a recent diagnosis of systemic lupus erythematosus (SLE). What skin manifestation would the nurse expect to observe on inspection? o Butterfly rash  A nurse is providing care for a patient who has a rheumatic disorder. The nurse's comprehensive assessment includes the patient's mood, behavior, LOC, and neurologic status. What is this patient's most likely diagnosis? o Systemic lupus erythematosus (SLE) 5. Stages of RA Chapter 39 # 2  A nurse is providing care for a patient who has just been diagnosed as being in the early stage of rheumatoid arthritis. The nurse should anticipate the administration of which of the following? o Methotrexate (Rheumatrex) 1 This study source was downloaded by 100000802321538 from CourseHero.com on 09-21-2021 14:20:01 GMT -05:00 https://www.coursehero.com/file/16083961/Test-2-REVIEW-MED-SURG/ This study resource was shared via CourseHero.com Med-Surg: Test 2 study guide Summer 2016 6. Diagnostic studies for RA Chapter 39 # 1, 11  A patient is suspected of having rheumatoid arthritis and her diagnostic regimen includes aspiration of synovial fluid from the knee for a definitive diagnosis. The nurse knows that which of the following procedures will be involved? o Arthocentesis  A patient is undergoing diagnostic testing to determine the etiology of recent joint pain. The patient asks the nurse about the difference between osteoarthritis (OA) and rheumatoid arthritis (RA). What is the best response by the nurse? o ìOA is a considered a noninflammatory joint disease. RA is characterized by inflamed, swollen joints.î 7. Pt care post-biopsy (Musculoskeletal) Chapter 40 # 27  A bone biopsy has just been completed on a patient with suspected bone metastases. What assessment should the nurse prioritize in the immediate recovery period? o Assessment for pain 8. Bone cell functions Chapter 40 #21  A child is growing at a rate appropriate for his age. What cells are responsible for the secretion of bone matrix that eventually results in bone growth? o Osteoblasts 9. Neurovascular dysfunction Chapter 40 # 5, 37  A nurse is assessing a patient who is experiencing peripheral neurovascular dysfunction. What assessment findings are most consistent with this diagnosis? o Absence of feeling, capillary refill of 4 to 5 seconds, and cool skin  A patient has had a cast placed for the treatment of a humeral fracture. The nurse's most recent assessment shows signs and symptoms of compartment syndrome. What is the nurse's most appropriate action? o Contact the primary care provider immediately. 10. Hormones involved in bone resorption and formation Chapter 40 # 25  A nurse is explaining a patient's decreasing bone density in terms of the balance between bone resorption and formation. What dietary nutrients and hormones play a role in the resorption and formation of adult bones? Select all that apply. o Thyroid hormone o Growth hormone o Estrogen 11. Paget’s disease Chapter 40 # 35  A patient is undergoing diagnostic testing for suspected Paget's disease. What assessment finding is most consistent with this diagnosis? o Altered serum calcium levels 12. Types of bones Chapter 40 # 11  The human body is designed to protect its vital parts. A fracture of what type of bone may interfere with the protection of vital organs? o Flat bones 13. Osteoporosis diagnostic studies Chapter 40 #18  A clinic nurse is caring for a patient with a history of osteoporosis. Which of the following diagnostic tests best allows the care team to assess the patient's risk of fracture? o Bone densitometry 2 This study source was downloaded by 100000802321538 from CourseHero.com on 09-21-2021 14:20:01 GMT -05:00 https://www.coursehero.com/file/16083961/Test-2-REVIEW-MED-SURG/ This study resource was shared via CourseHero.com Med-Surg: Test 2 study guide Summer 2016 14. Morton’s neuroma manifestations Chapter 42 # 12  A nurse is assessing a patient who reports a throbbing, burning sensation in the right foot. The patient states that the pain is worst during the day but notes that the pain is relieved with rest. The nurse should recognize the signs and symptoms of what health problem? o Morton's neuroma 15. Back strain education Chapter 42 #1  A nurse is caring for an adult patient diagnosed with a back strain. What health education should the nurse provide to this patient? o Avoid lifting more than one-third of body weight without assistance. 16. Interventions for vertebral fracture Chapter 42 # 29, 30  A nurse is caring for a patient who is being treated in the hospital for a spontaneous vertebral fracture related to osteoporosis. The nurse should address the nursing diagnosis of Acute Pain Related to Fracture by implementing what intervention? o Intermittent application of heat to the patient's back  A patient has been admitted to the hospital with a spontaneous vertebral fracture related to osteoporosis. Which of the following nursing diagnoses [Show More]

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