A nurse is discussing the difference between rheumatoid arthritis (RA) and osteoarthritis with a newly hired nurse. Which of the following information should the nurse include about osteoarthritis?

"Osteoarthritis causes the joints to become red and hot."

"Osteoarthritis is caused by an autoimmune process."

"Osteoarthritis affects other organs in the body."

"Osteoarthritis can impair a joint on a single side of the body."

Answer and Explanation

The Correct Answer is D

A. "Osteoarthritis causes the joints to become red and hot." This is more characteristic of rheumatoid arthritis, which involves inflammation leading to redness and warmth. Osteoarthritis typically causes pain and stiffness without significant redness or heat.

B. "Osteoarthritis is caused by an autoimmune process." Rheumatoid arthritis is an autoimmune disease where the body's immune system attacks its own tissues. Osteoarthritis is a degenerative joint disease caused by wear and tear of the cartilage.

C. "Osteoarthritis affects other organs in the body." Rheumatoid arthritis is a systemic condition that can affect multiple organs. Osteoarthritis is localized to the joints and does not affect other organs.

D. "Osteoarthritis can impair a joint on a single side of the body." Osteoarthritis can affect one joint or joints on one side of the body, such as one knee or one hip, whereas rheumatoid arthritis typically affects joints symmetrically.

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Correct Answer is D

Explanation

A. Pallor of the affected extremity: Pallor usually indicates vascular issues rather than a rotator cuff injury.

B. Alteration in the appearance of the shoulder joint: Visible deformity may suggest a dislocation or fracture, not specifically a rotator cuff injury.

C. Numbness of the thumb and index finger: Numbness of the thumb and index finger is more likely related to nerve compression, such as carpal tunnel syndrome.

D. Increased pain with lifting the arm: This is characteristic of a rotator cuff injury, which typically causes pain and weakness with shoulder movements, especially lifting the arm.

A. Explain the use of assistive devices. B. Clean skin with antibacterial skin cleaning cloths. C. Teach postoperative exercises. D. Ask if a consent form was signed.

Correct Answer is B

Explanation

A. Explain the use of assistive devices. While explaining the use of assistive devices is important, it is not the primary preoperative care focus.

B. Clean skin with antibacterial skin cleaning cloths. Correct. Preoperative skin cleaning with antibacterial cloths is crucial to reduce the risk of postoperative infections.

C. Teach postoperative exercises. Teaching postoperative exercises is important but is typically part of preoperative education rather than immediate preoperative care.

D. Ask if a consent form was signed. Ensuring that consent forms are signed is necessary but is not the primary preoperative care focus.

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A nurse is discussing the difference between rheumatoid arthritis (RA) and osteoarthritis with a newly hired nurse. Which of the following information should the nurse include about osteoarthritis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who reports shoulder pain. Which of the following findings should cause the nurse to suspect that the client has a rotator cuff injury?

Correct Answer is D

Explanation

The nurse is providing preoperative care for a patient who is scheduled for joint replacement the next day. What should the nurse include with care?

Correct Answer is B

Explanation

A nurse is caring for a client who is postoperative following shoulder surgery. The client has a prescription to keep the affected arm adducted. Which of the following instructions should the nurse provide the client?

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