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RA/OA/Chole/GIB Flashcards | StudBud
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RA/OA/Chole/GIB
RA/OA/Chole/GIB
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NR 211 RA/OA Wk 5 Stuff
Flashcards
49 cards
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Practice quiz
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Questions
49
Answers
1
Please choose the most appropriate answer.
a
b
c
d
2
Which pts are most likely to need education regarding how to decrease risk of OA?
60 y/o m who is a telemarketer sitting at a desk all day on the phone
44 y/o f who is a diabetic weight lifter
34 y/o f who plays on a softball team
62 y/o f who works an assembly line in a processing plant
3
Which is a common extraarticular manifestation of RA?
Joint pain
Tinnitus
Dry eyes
Sjogren syndrome
4
N. gonorrhoeae is the most common cause of septic arthritis in sexually active young adults.
True
False
5
Prior to starting a pt w RA on hydroxychloroquine what lab must be checked
Comprehensive eye exam
CBC
Serum creatinine & urine for microalbumin
LFT
6
Methotrexate is not only tetragenic is puts the pt at high risk for infection d/t bone marrow suppression
True
False
7
Please choose the most appropriate answer.
d
b
c
a
8
Which medication would you anticipate needed to teach me about my new OA diagnosis?
Hydroxychloroquin (plaquenil)
Prednisone
Capsaicin (Salonpas/Zostrix)
Toradol (ketorolac)
9
What do u do if ur pt w RA refuses her methotrexate saying that she doesnt like the SE as they are worse then the dz
Tell her that the med is started asap to help decr sev of jt damage
Tell her it is effective w less SE than newer drugs
Tell her it is cheaper than newer drugs so dont worry about cost
Tell her it is ok that is her right
10
Your pt is admitted w bloody emesis w acute gastritis and GIB. What are risk factors associated w it?
Use of NSAID
Recent diet of the pt such as high sat fat
Hx of GI/colon cancer
Hx of recent big amount of wt gain/loss
11
What would I tell the pt w RA that asks what she can do for her chronically dry eyes?
Educate her regarding adverse effects of her RA meds
Instruct her to use OTC artificial tears
Obtain a prescription for steriodal eye drops
Reassure it is a common sign of old age and her RA
12
Along with the R kidney what other organs are found in the RUQ of the abd?
Stomach, descending colon, gallbladder, pancreas
Liver, gallbladder, pancreas, descending colon
Stomach, gallbladder, pancreas, ascending colon
Liver, gallbladder, ascending colon, pancreas
13
What would you include in teaching a pt about RA management?
Do not exercise the affected jt when experiencing pain
Walking is a good substitute for ROM exercises occassionally
Avoid activities requiring repetitive movement of the same jts
Use cold packs before exercising to help decrease jt pain
14
Which statement shows your teaching is effective regarding RA management?
I should use isometric exercises to help relieve my jt stiffness
I should sleep with my knees in an extended neutral position w no pillows
I should start out my day w a warm bath and then a nap to help jt pain
I can use repetitive movement and wring water out of my sponge when washing
15
All the states are false regarding acute gastritis causing GIB except
Chronic lack of dietary fiber is the main cause of the disorder
The gold standard to evaluate the disorder is a colonoscopy
Chronic intake of NSAIDs can cause the disorder
The screening test for the disorder is the barium swallow test
16
What lab finding would show the effectiveness of prednisone therapy for an acute RA flareup?
Blood glucose
LFT
Serum electrolytes
CRP
17
What is the max amount of tylenol that can be taken in 24 hours pending no hepatic problem
4 gram
2 gram
1 gram
3 gram
18
Which lab finding would I need to notify the MD regarding my pt w RA?
ESR elevation
Rheumatoid factor is positive
Fasting blood sugar 100
WBC 1.5
19
Which deformities will you see in a pt w RA?
Swan neck
Boutonniere deformity & hitchhiker's thumb
Claw toe & bunion
Ulnar drift & hallux vagus
20
A pt with acute cholecystitis will experience a positive obturator sign when lying down & w hip flexion
False
True
21
Can Zostrix be used topically to help block transmission of pain impulses in pts with OA
False
True
22
Heberden's nodes are commonly found in which of the following diseases?
septic arthritis
rheumatoid arthritis
psoriatic arthritis
degenerative joint disease
23
Glucosamine sulfate is a natural supplement that is used for which of the following conditions?
Rheumatoid arthritis
Osteoporosis
Osteoarthritis
Metabolic syndrome
24
What is an expected side effect of a pt w RA on prednisone?
Has joint pain and stiffness
Blood glucose on am labs is 150
ESR and CRP is increasing
Recent 5 pound weight loss
25
Please choose the most appropriate answer.
b
d
c
a
26
All are appropriate actions for a pt w RA except
Sleeping w 2 pillow under knees or head
Use a stool or chair when preparing meals
Trying to get pregnant while taking methorexate
Practice energy conservation by taking a nap in the afternoon
27
All of the following are appropriate OA treatments except:
Exercise daily to help maintain joint function
Use a cane to decrease pressure and hip pain
Take Aleve 400mg q 4 hours and Tylenol 1gm q 4 hours prn pain
Taking a hot shower can help relieve joint stiffness in the morning
28
On assessment what would you expect with a patient w OA of the knee?
Redness and swelling of the knee joint
Stiffness that increases w movement
Heberden's nodes
Discomfort w joint movement
29
Dark colored stools may indicate a GIB
False
True
30
If I had OA and on Aleve to treat it what would indicate I need my med changed?
If my pain worsened and now affects multiple joints
If I had dark stools
If I use Salonpas or Zostrix
Gained 10 pounds
31
What is an adverse side effect of Plaquenil for RA?
Abdominal cramping
Retinopathy
Hypertension
Joint tenderness
32
All of the following are appropriate for the care of a pt w new diagnosis of RA except
Use warm bathes to help relieve pain and stiffness and sleep on a firm bed
Avoid stressing the joints so no repetitive movements
Exercise several times a day with light weights to help improve strength
Have them take short naps to help decrease the fatigue and pain
33
OA eventually cause atrophy proximal to involv jts d/t progress wkness & disuse. Other s/s are jt deformities & crepitus
False
True
34
Please choose the most appropriate answer.
c
b
a
d
35
Early detection of RA can decrse amt of bone & jt destruction & dz will go into remission thus reduce amt of disability.
False
True
36
All of the following are DMARDs used to slow the progression of RA and save the joints from permanent damage except
Methotrexate
Leflunomide
Arthrotec
Sulfasalazine
37
Please choose the most appropriate answer.
B
A
C
D
38
The stiffness in osteoarthritis is (2 ans):
Worse after rest and decreases w joint movement
Better w rest and increases with joint movement
Better in the afternoon after swimming
Better in the early am after watching tv
39
Which antihtn med has beneficial effects for an elderly white female w osteoporosis
calcium channel blocker
beta-blocker
diuretic
angiotensin converting enzyme inhibitor
40
A menopausal women w osteopenia is going to a dietary ed class. Which foods are recommended?
Cheese and red meat
Low-fat cheese and whole grain
Spinach and red meat
Yogurt and sardine
41
Joint contracture can occur in the later stages of rheumatoid arthritis.
False
True
42
The best form of aerobic exercise for a pt w severe RA is:
Passive ROM
Swimming or riding a bike
Weight lifting
Yoga
43
Rest of quest: inspiration, pt c/o severe sharp pain. What is the diagnosis?
acute diverticulitis
acute gastroenteritis
acute cholecystitis
acute appendicitis
44
All of the following measures help lower the risk of osteoporosis except:
Drinking organic juice
Vitamin D supplementation
Performing weight-bearing exercise
Eating low-fat dairy food
45
Overwt female presents to the ER with c/o sev RUQ pain that radiates to the shoulder a hr after eating and has n/v dx?
pancreatitis
cholecystitis
angina
gerd
46
Please choose the most appropriate answer.
c
d
a
b
47
You are caring for a geriatric pt on Aleve daily for OA, what symptom would you need to call the dr about?
BUN 39, CR 1.9
Knee pain has increased in the last year
W normal knee ROM there is crepitation
Heberden's nodes
48
Pts w RA should exercise even when jts hurt w a combo of both passive and active ROM to stregthen jts & imp flexibility
False
True
49
Which medication would you anticipate needed to teach me about my new RA diagnosis?
Capsaicin (Salonpas/Zostrix)
Prednisone
Hydroxychloroquin (plaquenil)
Toradol (ketorolac)
