MEDICAL SURGICAL TEL EMETRY

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MEDICAL SURGICAL TEL EMETRY

B EXAM CORRECT 100%

Question :Rank in order the sequence of events leading to

joint destruction in secondary osteoarthritis (OA) beginning with the effect of an injury to the cervical spine.

• Exacerbation of abdominal tissue growth
• Bony articular surfaces in joint exposed
• Fragile, soft, dull joint cartilage develops
• Irregular joint motion, stiffness, and pain

Correct answer: C. Fragile, soft, dull joint cartilage

develops

• Exacerbation of abdominal tissue growth
• Irregular joint motion, stiffness, and pain
• Bony articular surfaces in joint exposed

Question :The nurse is assessing a patient who is

complaining of joint pain and stiffness. Which assessment

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does not differentiate between osteoarthritis (OA) and rheumatoid arthritis (RA)?

• Symmetry of joint effect
• Duration of joint stiffness
• Space between the bones
• Erythrocyte sedimentation rate

Correct answer: C. Space between the bones

Question :A 75-year-old female patient complains about

morning stiffness and increasing joint pain in her right hip. What is the best initial drug therapy for her?

• aspirin
• naproxen (Aleve)
• ibuprofen (Motrin)
• acetaminophen (Tylenol)

Correct answer: D. acetaminophen (Tylenol)

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Question :Which of the following laboratory values

would probably be found in a patient with osteoarthritis (OA)?

• Decreased RBCs
• Increased WBCs
• Clear yellow synovial fluid
• Increased C-reactive protein
• Increased erythrocyte sedimentation rate

Correct answer: C. Clear yellow synovial fluid

Question :A patient who has ankylosing spondylitis (AS)

asks the nurse for help in choosing suitable activities for maintaining good posture. Which exercise should the nurse advise the patient to avoid?

• Do stomach crunching
• Stand on a single leg
• Face wall and push off
• Stretch the lower back

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Correct answer: A. Do stomach crunching

Question :The incidence of Lyme disease is very high in a

Pennsylvania county, so the public health nurse provides community education to increase the number of patients who seek health care promptly after a tick bite. Which information should the nurse provide in community teaching people who are at risk for a tick bite?

• The best therapy for the acute illness is an IV

antibiotic.

• Check for an enlarging reddened area with a clear

center.

• Antibiotics will prevent Lyme disease if taken for 10

days.

• Surveillance is necessary during the summer months

only.

Correct answer: B. Check for an enlarging reddened area

with a clear center.