Chapter 43: Connective Tissue Disorders

Chapter 43: Connective Tissue Disorders

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A 51-year-old professional tennis instructor is newly diagnosed with osteoarthritis. What is the nurse’s best explanation to the patient when asked what this diagnosis means?

a.	Presence of antibodies in the synovial fluid
b.	Dislocation of the patella over the tibia
c.	Degeneration of articular cartilage
d.	Body’s autoimmune response

 

 

ANS:  C

Degeneration of articular cartilage is one of the pathophysiologic changes of arthritis.

 

DIF:    Cognitive Level: Knowledge            REF:   p. 950             OBJ:   6

TOP:   Osteoarthritis                                  KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

2. A nurse explains to a patient with rheumatoid arthritis that the drug leflunomide (Arava) is a disease-modifying antirheumatic drug (DMARD). What is the action of this medication?

a.	Retards the progress of the disease
b.	Builds new bone
c.	Decreases inflammation
d.	Increases flexibility

 

 

ANS:  A

Arava is a DMARD and slows the progression of the disease.

 

DIF:    Cognitive Level: Knowledge            REF:   p. 958             OBJ:   5

TOP:   DMARDs       KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Pharmacological Therapies

 

3. A patient with osteoarthritis in both knees and shoulders states that she cannot manage her household tasks without pain. Which is the most appropriate nursing diagnosis for this patient?

a.	Ineffective coping, related to pain
b.	Risk for disuse syndrome
c.	Impaired physical mobility, related to pain
d.	Activity intolerance, related to pain

 

 

ANS:  C

The patient’s concern is not so much the pain but her difficulty in accomplishing household tasks.

 

DIF:    Cognitive Level: Application           REF:   p. 953             OBJ:   8

TOP:   Osteoarthritis                                  KEY:  Nursing Process Step: Planning

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

4. A nurse is caring for a patient with osteoarthritis. What is the best recommendation by the nurse to this patient to control chronic pain?

a.	Administer analgesics only when needed.
b.	Administer analgesics as prescribed on a routine basis.
c.	Plan activities with no rest periods to complete the activities quickly.
d.	Wear high-heeled shoes to keep the body in alignment.

 

 

ANS:  B

The routine administration of prescribed analgesic medications is the most appropriate treatment for chronic pain.

 

DIF:    Cognitive Level: Application           REF:   p. 952             OBJ:   8

TOP:   Osteoarthritis                                  KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Pharmacological Therapies

 

5. An older patient with osteoarthritis complains of stomach discomfort and shortness of breath after years of taking aspirin for pain relief. What change in pain control medication would be most appropriate for the home health care nurse to suggest?

a.	Nonsteroidal antiinflammatory drugs (NSAIDs)
b.	Oral corticosteroids
c.	Mild exercise
d.	Warm baths

 

 

ANS:  A

The use of NSAIDs is less irritating than aspirin or glucocorticoids. Mild exercise is good but not for pain relief.

 

DIF:    Cognitive Level: Application           REF:   p. 951             OBJ:   5

TOP:   Drug Therapy for Connective Tissue Disorders

KEY:  Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity: Pharmacological Therapies