Musculoskeletal 2

The nurse is administering the disease-modifying antirheumatic drug (DMARD) methotrexate to a client with rheumatoid arthritis (RA). When the client questions why the drug is needed, how should the nurse reply?

"Early use of these medications may prevent resistance to treatment later."

The nurse determines further teaching is necessary when a client diagnosed with osteoarthritis makes which statement?

"Older men are more likely to have osteoarthritis than older women."

The nurse is preparing a client for testing to determine if the client's gout is due to overproduction or underexcretion of uric acid. How should the nurse explain the process used?

"Your serum uric acid levels will be compared to the urate content in your urine."

The nurse is assessing a client's risk for osteoarthritis. Which factor places the client at greatest risk for this condition?

Age

A child, diagnosed with juvenile idiopathic arthritis, should receive education about commonly prescribed medications. Which other priority aspect(s) of care should the nurse assess during regular clinic visits? Select all that apply.

Nutiritonal status/issues Achieving growth and development milestones

A client presents with arthralgia and arthritis. Which is the priority nursing intervention?

Assessing the client's pain and history of treating it

A client with a history of polymyalgia rheumatica is admitted with a suspected stroke and is permitted nothing by mouth (NPO). Given this client's prescribed medications, what parenteral medication will the nurse prioritize as most important to request from the health care provider?

Corticosteroid

When a nurse assesses a client with scleroderma (systemic sclerosis), which manifestation does the nurse recognize is part of the CREST variant syndrome rather than the systemic type of this disorder?

Dermal thickening proximal to wrists

The nurse is reviewing laboratory results and notes an elevated uric acid level on a client. What action should the nurse take?

Interview the client about current or past joint and urinary symptoms

When assessing a client with rheumatoid arthritis, which statement about joint involvement is most accurate?

Involvement is symmetric and polyarticular, initially starting in the fingers, hands, and wrists.

In general, how are children affected by a rheumatic disease such as juvenile idiopathic arthritis (JIA)?

It's characterized by synovitis and can influence epiphyseal growth, resulting in stunted growth.

The client with a suspected diagnosis of osteoarthritis asks the health care provider, "How will this diagnosis be confirmed?" Which response is most appropriate?

Physical examination and x-ray studies

Giant cell arteritis is a comorbid condition of:

Polymyalgia rheumatica

A client was diagnosed with Salmonella 1 week ago and is now experiencing joints that are warm, swollen, and tender; fever; and weight loss. What possible interpretation of these manifestations will the health care provider make?

Reactive arthritis

When assessing a child for clinical manifestations of oligoarticular arthritis, the health care provider will base the diagnosis on which clinical findings?

Right knee is warm and painful when putting it through normal range of motion.