Med-Surg II 5

A 42-year-old female with a history of rheumatoid arthritis (RA) presents to the clinic with complaints of increased joint pain and stiffness. The healthcare provider orders laboratory tests, including rheumatoid factor (RF) and anti-cyclic citrullinated peptide (anti-CCP) antibody. The results reveal elevated levels of both RF and anti-CCP antibody. Which of the following actions is most appropriate for the nurse to take?

A 55-year-old male with a long-standing history of rheumatoid arthritis (RA) presents to the emergency department with complaints of sudden-onset shortness of breath and chest pain. On examination, the nurse notes decreased breath sounds on the left side and increased dullness to percussion. Which of the following complications is the patient most likely experiencing?

A 65-year-old female with a history of osteoarthritis (OA) presents to the clinic with complaints of worsening knee pain and limited range of motion. The nurse performs a physical assessment and notes the presence of Heberden's nodes on the patient's fingers. Which of the following actions is most appropriate for the nurse to take?

A 58-year-old male with a recent diagnosis of osteoarthritis (OA) in the hip is prescribed acetaminophen for pain management. The patient has a history of liver disease. What is the nurse's priority action?

A 55-year-old female presents to the clinic with complaints of joint pain in her hands, wrists, and knees. She describes stiffness in the morning that lasts for several hours. The healthcare provider suspects arthritis and orders laboratory tests. The results show elevated rheumatoid factor (RF) and anti-cyclic citrullinated peptide (anti-CCP) antibody levels. Based on these findings, which type of arthritis is most likely present?

A 65-year-old male reports chronic joint pain in his hips and knees, worse after prolonged activity and relieved by rest. He denies morning stiffness and has no systemic symptoms. On physical examination, Heberden's nodes are noted on the distal interphalangeal joints. Which type of arthritis is most consistent with this patient's presentation?

A 45-year-old female with rheumatoid arthritis is prescribed methotrexate as part of her treatment plan. The nurse provides education on the medication, emphasizing the importance of regular laboratory monitoring. Which of the following laboratory values should the nurse closely monitor in this patient?

A 35-year-old male is prescribed methotrexate for the treatment of psoriasis. The patient asks the nurse about potential side effects and complications associated with the medication. Which of the following information should the nurse include in the education?

A 52-year-old male with a diagnosis of rheumatoid arthritis is prescribed etanercept as part of the treatment plan. The patient asks the nurse about the administration of the medication. What is the nurse's best response regarding the administration of etanercept?

A 45-year-old female with moderate to severe plaque psoriasis is prescribed etanercept. Before initiating the medication, the nurse assesses the patient's medical history. Which of the following conditions would be a contraindication to the use of etanercept?

A 35-year-old male is prescribed methotrexate for the treatment of psoriasis. The patient asks the nurse about potential side effects and complications associated with the medication. Which of the following information should the nurse include in the education?

A 52-year-old male with a diagnosis of rheumatoid arthritis is prescribed etanercept as part of the treatment plan. The patient asks the nurse about the administration of the medication. What is the nurse's best response regarding the administration of etanercept?

A 45-year-old female with moderate to severe plaque psoriasis is prescribed etanercept. Before initiating the medication, the nurse assesses the patient's medical history. Which of the following conditions would be a contraindication to the use of etanercept?

A 45-year-old female presents to the emergency department with severe right upper quadrant abdominal pain, nausea, and vomiting. The healthcare provider suspects acute cholecystitis. Which of the following nursing interventions is the priority for this patient?

A 55-year-old male is scheduled for laparoscopic cholecystectomy due to symptomatic gallstones. During preoperative education, the nurse explains the potential complications of gallbladder surgery. Which statement by the patient indicates a need for further clarification?

A 60-year-old male is admitted to the hospital with signs and symptoms of a gastrointestinal bleed. The nurse is assessing the patient and notes a drop in blood pressure, an increase in heart rate, and decreased urine output. The nurse recognizes these findings as indicative of which stage of shock associated with a GI bleed?

A 45-year-old female is admitted to the emergency department with suspected upper gastrointestinal bleeding. The nurse is preparing to administer a proton pump inhibitor (PPI) as part of the treatment plan. Which of the following medications is a PPI commonly used to manage GI bleeding?

A 50-year-old female presents to the emergency department with severe right upper quadrant abdominal pain, nausea, and vomiting. The healthcare provider suspects gallbladder-related issues. The patient undergoes imaging, revealing the presence of gallstones without evidence of inflammation or infection. Based on these findings, which diagnosis is most likely for this patient?

A 55-year-old male presents with right upper quadrant abdominal pain, fever, and tenderness on palpation. Laboratory tests reveal an elevated white blood cell count, and imaging studies show gallbladder wall thickening. Based on these findings, what is the most likely diagnosis for this patient?

A 30-year-old female is diagnosed with hyperthyroidism and is prescribed methimazole. The nurse is providing education on the medication. Which statement by the patient indicates a need for further clarification?

A 45-year-old male is diagnosed with hypothyroidism and is prescribed levothyroxine (Synthroid) medication. The nurse is providing education on the medication. Which of the following statements by the patient indicates an understanding of the instructions?