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Question 1 of 20
1. Question
Mrs. Thompson, a 68-year-old postmenopausal woman with a BMI of 30, has been recently diagnosed with osteoarthritis of the knees. She has a past medical history significant for hypertension, for which she is on Lisinopril. Mrs. Thompson has mentioned her increased difficulty in getting up from a seated position and has expressed concerns about her weight contributing to her joint pain. Given her clinical scenario, which interventions should the nurse incorporate into a tailored educational plan for Mrs. Thompson to ensure optimal self-management strategies? Select all that apply.
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Question 2 of 20
2. Question
Mr. Rodriguez, a 72-year-old retired construction worker, presents to the orthopedic clinic with complaints of increasing pain and swelling in both his hands and knees over the past several months. He reports a long history of manual labor and remembers multiple minor joint injuries during his working years. Today, he describes his pain as a constant dull ache, worsening in intensity after physical activity, and accompanied by noticeable stiffness in the morning. Given Mr. Rodriguez’s clinical scenario, which nursing interventions would be most beneficial to manage his osteoarthritic pain and swelling? Select all that apply.
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Question 3 of 20
3. Question
Mr. Sharma, a 65-year-old software engineer, has been struggling with severe osteoarthritis in his right hip for the past ten years. Given the progressive nature of his pain and functional decline, and after exploring various conservative treatment options, it has been decided that he undergoes a right hip joint arthroplasty. As the surgery date approaches, Mr. Sharma expresses apprehension about the surgical procedure and postoperative period, especially in relation to mobility and pain management. Taking into consideration his specific concerns and the standard preoperative protocol for joint arthroplasty, which interventions should the nurse prioritize in the immediate preoperative period? Select all that apply.
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Question 4 of 20
4. Question
Ms. Abigail, a 58-year-old elementary school teacher, has been living with osteoarthritis in her hands and knees for several years. While she has managed her symptoms with occasional acetaminophen and physical therapy, her pain and swelling have recently increased. Her rheumatologist has now prescribed a nonsteroidal anti-inflammatory drug (NSAID) to better manage her symptoms. Given her active lifestyle and limited experience with NSAIDs, what crucial information should the nurse emphasize during her medication education session? Select all that apply.
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Question 5 of 20
5. Question
Mr. O’Brien, a 70-year-old retired firefighter, arrives at the outpatient orthopedic clinic. He describes a gradual onset of morning stiffness in his hands and knees that usually lasts for about 30 minutes. He also reports pain in these joints, particularly after prolonged activity, noting that his gardening hobby has become increasingly challenging due to these symptoms. With his history and presentation suggestive of osteoarthritis, which nursing interventions would be most appropriate to improve Mr. O’Brien’s quality of life and manage his current symptoms? Select all that apply.
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Question 6 of 20
6. Question
Dr. Martinez, a 52-year-old astrophysicist, is admitted to the medical ward with a markedly swollen, red, and painful right big toe. He shares that he’s had similar episodes in the past, but this current flare-up is the worst he’s ever experienced. Laboratory tests confirm elevated uric acid levels, and a diagnosis of gout is made. Given that Dr. Martinez has a keen interest in understanding the science behind his condition and wants to manage it through lifestyle changes in addition to medications, which dietary modification should the nurse suggest as part of a comprehensive management plan?
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Question 7 of 20
7. Question
Mr. Leopold, a 60-year-old renowned violinist, was recently diagnosed with gout after experiencing several painful episodes affecting his fingers. He is eager to manage his condition effectively, as it has begun to impact his ability to play the violin. During a clinic visit, the nurse provides him with education on medication management. Which statement made by Mr. Leopold suggests he may not fully grasp the guidance and needs additional clarification?
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Question 8 of 20
8. Question
Mrs. Eleanor, a 68-year-old former ballet dancer, is admitted to the rheumatology clinic for management of her gout. She has had recurrent episodes of painful joint inflammation, particularly in her feet. In light of her medical history and current presentation, her rheumatologist prescribes allopurinol to help manage her condition. Given Mrs. Eleanor’s new medication regimen, what intervention should the nurse prioritize to ensure effective and safe management of her gout?
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Question 9 of 20
9. Question
Lucas, a 45-year-old travel blogger, visits the emergency room after a weeklong backpacking trip in the mountains. He reports severe joint pain in his left big toe, which appears red and swollen. The clinical picture and his medical history suggest a gout flare-up. Lucas mentions that the pain is quite debilitating and is impeding his ability to walk and document his adventures. Given the acute presentation of his symptoms, which intervention should the nurse prioritize to alleviate Lucas’s discomfort?
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Question 10 of 20
10. Question
Mr. Patel, a 55-year-old chef renowned for his spicy seafood dishes, is in the clinic for a follow-up appointment related to his chronic gout. His physician has decided to prescribe probenecid as part of his management plan, considering the recurring nature of his gout attacks and uric acid levels. When educating Mr. Patel about his new medication, which crucial instruction should the nurse emphasize to ensure his safety and optimal response to the drug?
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Question 11 of 20
11. Question
Dr. Rodriguez is managing the care of Mr. Hernandez, a 60-year-old retired firefighter with a known diagnosis of gout. However, complicating Mr. Hernandez’s case is his medical history of peptic ulcer disease, which has caused recurrent hospitalizations over the past few years. Given the need to manage his gout for pain while minimizing the risk to his gastrointestinal system, which medication should the nurse anticipate being prescribed for gout management?
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Question 12 of 20
12. Question
Emmanuel, a 52-year-old jazz pianist, presents to the rheumatology clinic with a severely swollen and tender right wrist, which he reports has affected his ability to play the piano. The attending rheumatologist is considering various diagnostic modalities. Given Emmanuel’s presentation, symptoms, and the need to make a definitive diagnosis, what would be the primary purpose of recommending joint aspiration for this patient?
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Question 13 of 20
13. Question
Julius, a 46-year-old literature professor, was recently diagnosed with gout after presenting with severe pain in his big toe. During his clinic visit, Nurse Fiona provided education about the importance of lifestyle modifications to help manage his condition and prevent future flare-ups. At a follow-up appointment a week later, which statement made by Julius would indicate he has understood Nurse Fiona’s teachings?
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Question 14 of 20
14. Question
Eleanor, a 58-year-old botanist, has been living with gout for several years. During her most recent flare-up, her rheumatologist prescribed colchicine to help manage her symptoms. Today, she arrives at the clinic for a follow-up appointment. As Nurse Kelvin takes her history and conducts a physical assessment, which finding would warrant his immediate intervention and possibly a change in her treatment regimen?
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Question 15 of 20
15. Question
Martin, a 65-year-old retired orchestra conductor, has been managing his gout for several years. Due to the persistence of his symptoms and elevated uric acid levels, his doctor has recently prescribed probenecid. During a follow-up visit at the clinic, Nurse Gabrielle inquired about Martin’s understanding of the new medication. Which statement by Martin would suggest that further patient teaching is necessary?
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Question 16 of 20
16. Question
David, a 52-year-old travel writer, has been admitted to the hospital due to a severe flare-up of his gout. Over the past week, he attended various culinary events, indulging in rich foods and drinks, which he suspects might have triggered his current episode. Nurse Megan reviews his medical orders and plans her interventions for David’s care. Which actions should she include in her plan? Select all that apply.
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Question 17 of 20
17. Question
Adriana, a 46-year-old fashion designer, was recently diagnosed with gout. Due to the severity and frequency of her flare-ups, her physician has prescribed a combination of allopurinol and colchicine. During her outpatient appointment, Nurse Nathan reviews her medication regimen. What instructions should Nurse Nathan emphasize to Adriana about her medications? Select all that apply.
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Question 18 of 20
18. Question
Mr. Thompson, a 58-year-old winery owner, has been admitted to the hospital with a severe gout flare-up. As part of his discharge plan, Nurse Ramirez has been tasked with providing self-care instructions to Mr. Thompson to help manage his gout symptoms and prevent future flare-ups. Given his lifestyle and newly prescribed medication, which self-care instructions should Nurse Ramirez include? Select all that apply.
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Question 19 of 20
19. Question
Mr. Richards, a 64-year-old retired pilot, has been living with gout for several years. During his last physician visit, he was prescribed probenecid to help manage his condition. Nurse Hamilton is preparing Mr. Richards for discharge and wants to ensure he understands how to take his new medication correctly. Which instructions should Nurse Hamilton emphasize to Mr. Richards regarding the use of probenecid? Select all that apply.
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Question 20 of 20
20. Question
Ms. Warren, a 55-year-old professional chef, has recently been diagnosed with gout. Due to her professional background, she is quite curious about dietary modifications that could potentially help manage her condition. During her hospital stay, she has been prescribed colchicine to manage her symptoms. Nurse Anderson is tasked with providing dietary advice to Ms. Warren in light of her gout diagnosis and new prescription. Which dietary instructions should Nurse Anderson provide? Select all that apply.
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