1 Mosby items and derived items © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier, Inc. Nursing Management: Arthritis and Connective Tissue Diseases Chapter 65

2 Mosby items and derived items © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier, Inc. 1.Etanercept (Enbrel) is prescribed for a patient with Stage II rheumatoid arthritis. The nurse monitors the patient’s laboratory results with the knowledge that a positive response to the drug is reflected by 1.decreased lymphocyte count. 2.absence of Rh factor in the blood. 3.increased serum immunoglobulin G. 4.decreased C-reactive protein (CRP).

3 Mosby items and derived items © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier, Inc. 2.The nurse determines that teaching about management of osteoarthritis of the feet and hands has been effective when the patient says, 1.“I will be careful to avoid crowds and people with infections.” 2.“I can use heat to relieve the stiffness when I wake up in the morning.” 3.“I should exercise my hands every day, especially if they are painful and inflamed.” 4.“I should avoid the use of glucosamine, as it has been shown to have no therapeutic value.”

4 Mosby items and derived items © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier, Inc. 3.A patient is undergoing diagnostic testing for symptoms of polyarthralgia, fatigue, and hair loss. Laboratory results include the presence of anti-DNA, antinuclear antibodies, and anti-Smith in the blood. The nurse recognizes that these findings are most likely to be related to 1.systemic sclerosis. 2.rheumatoid arthritis. 3.chronic fatigue syndrome. 4.systemic lupus erythematosus.