Chapter 20: Care of Patients with Arthritis and Other Connective Tissue Diseases

Chapter 20: Care of Patients with Arthritis and Other Connective Tissue Diseases

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse is teaching a community health class about health promotion techniques. Which statement by a student indicates a strategy to help prevent the development of osteoarthritis?

a.	“I will keep my BMI under 24.”
b.	“I will switch to low-tar cigarettes.”
c.	“I will start jogging twice a week.”
d.	“I will have a family tree done.”

 

 

ANS:  A

Obesity increases the stress on weight-bearing joints and contributes to the development of degenerative joint disease. Smoking does not decrease risk for osteoarthritis. Jogging increases the risk because of increased wear and tear on the joints. There is a genetic link to osteoarthritis; creating a family tree might help the client discover if there is any familial link but will not help prevent the disorder.

 

DIF:    Cognitive Level: Application/Applying or higher               REF:   N/A

TOP:   Client Needs Category: Health Promotion and Maintenance (Self-Care)

MSC:  Integrated Process: Teaching/Learning

 

2. The nurse is teaching a client who has osteoarthritis ways to slow progression of the disease. Which statement indicates that the client understands the nurse’s instruction?

a.	“I will eat more vegetables and less meat.”
b.	“I will avoid exercising to minimize wear on my joints.”
c.	“I will take calcium with vitamin D every day.”
d.	“I will start swimming twice a week.”

 

 

ANS:  D

Swimming is an excellent form of exercise for clients with arthritis because it involves minimal weight bearing and stress on the joints from gravity. Eating more vegetables will not decrease the progression of osteoarthritis. Taking calcium with vitamin D will decrease the risk of osteoporosis, not osteoarthritis. Gentle exercise is important to help slow progression of the disease.

 

DIF:    Cognitive Level: Application/Applying or higher               REF:   N/A

TOP:   Client Needs Category: Health Promotion and Maintenance (Self-Care)

MSC:  Integrated Process: Teaching/Learning

 

3. The nurse is working with a client who will be taking 20 mg of prednisone daily for rheumatoid arthritis. Which precautions does the nurse give the client about taking this medication?

a.	“Take this medication at bedtime because it will make you sleepy.”
b.	“Take calcium and vitamin D supplements daily.”
c.	“Eat a high-fiber diet with lots of lean meats.”
d.	“Wash your face twice a day with an antibacterial soap.”

 

 

ANS:  B

Long-term steroid use is associated with many complications, including diabetes, infection, and osteoporosis, among others. The client should be instructed to take calcium and vitamin D supplements to help prevent osteoporosis. Prednisone does not cause constipation, so increased fiber would not be helpful. Prednisone should be taken in the morning because it may interfere with sleep if taken at bedtime. Washing the face with antibacterial soap may cause skin dryness and breakdown.

 

DIF:    Cognitive Level: Application/Applying or higher               REF:   N/A

TOP:   Client Needs Category: Health Promotion and Maintenance (Self-Care)

MSC:  Integrated Process: Teaching/Learning

 

4. An older adult client is scheduled for knee replacement surgery. Which statement by the client indicates a need for further preoperative instruction?

a.	“I need to keep my leg positioned away from my body.”
b.	“I may have a continuous passive motion machine for a few days.”
c.	“I may need more pain medicine than I did with my hip replacement.”
d.	“I probably can get back to work within 2 to 3 weeks.”

 

 

ANS:  A

Dislocation is not a problem with knee replacement surgery, so the client does not need to keep his or her leg abducted. The other statements indicate accurate understanding of the instructions.

 

DIF:    Cognitive Level: Application/Applying or higher               REF:   N/A

TOP:   Client Needs Category: Physiological Integrity (Reduction of Risk Potential—Potential for Complications From Surgical Procedures and Health Alterations)

MSC:  Integrated Process: Nursing Process (Evaluation)