Rheumatoid arthritis

The teaching plan for the client with rheumatoid arthritis includes rest promotion. What position of the involved joints should the nurse tell the client to avoid when resting? A)Keeping all joints aligned B) Elevating be affected joints C) Lying in a prone position D) Maintaining the joints in a flexed position

D maintaining the joints flexed Position

Of the clients listed below, who is at risk for developing rheumatoid arthritis (RA)? Select all that apply. 1. Adults between the ages of 20 and 50 years. 2. Adults who have had an infectious disease with the Epstein-Barr virus. 3. Adults that are of the male gender. 4. Adults who possess the genetic link, specifically HLA-DR4. 5. Adults who also have osteoarthritis.

1, 2, 4. Rheumatoid arthritis (RA) affects women three times more often than men, between the ages of 20 and 55 years. Research has determined that RA occurs in clients who have had infectious disease, such as the Epstein-Barr virus. The genetic link, specifically HLA-DR4, has been found in 65% of clients with RA. People with osteoarthritis are not necessarily at risk for developing rheumatoid arthritis.

A client with rheumatoid arthritis tells the nurse, "I know it is important to exercise my joints so that I won't lose mobility, but my joints are so stiff and painful that exercising is difficult." Which of the following responses by the nurse would be most appropriate? 1. "You are probably exercising too much. Decrease your exercise to every other day." 2. "Tell the physician about your symptoms. Maybe your analgesic medication can be increased." 3. "Stiffness and pain are part of the disease. Learn to cope by focusing on activities you enjoy." 4. "Take a warm tub bath or shower before exercising. This may help with your discomfort."

4. "Take a warm tub bath or shower before exercising. This may help with your discomfort."

Which information should the nurse include in the teaching session when preparing a client for arthrocentesis? Select all that apply. A) A local anesthetic agent may be injected into the joint site for your comfort B) A syringe and needle will be to withdraw fluid from your joint C) The procedure, although not painful, will provide Immediate relief D)We will want you to keep your joint active after the procedure to increased blood flow E)You will need to wear a compression bandage for several days after the procedure

A, B, E

A client with rheumatoid arthritis tells the nurse, " I have a friend who took gold shots and have a successful response. Why didn't my healthcare provider let me try that?" Which response by the nurse would be most appropriate? A) It Is the healthcare providers prerogative To decide how to treat the healthcare provider has chosen what is best for your Situation B) Tell me more about your friends Arthritic condition. Maybe I could answer that question for you C) That drug is used for cases that are more advanced than yours. You're not eligible for this treatment now D) Every person is different. What works for one client may not always be effective for another.

D

A client with Rheumatoid arthritis is taking High doses of non-steroidal Anti-inflammatory medication. What should the nurse teach the client about taking these medication? A) Take prescribe medication with food lessen the likelihood of an upset stomach B) Do not start taking the medication sudden; just needs to be decreased gradually C) Use mouthwash to rent them out after taking this medication D) do not drive or use heavy machinery if dizziness occurs

Hey take prescribe medication with food to lessen the likleyhood of an upset stomach

After teaching the client with severe rheumatoid arthritis about prescribed methotrexate, which statement indicates the need for further teaching? A) I will take my vitamins while I am on the this drug B) I must not drink any alcohol while I am taking this drug C) I should brush my teeth after every meal D)I will continue taking my birth control pills

I will take my vitamins while I am on this drug

After teaching the client with rheumatoid arthritis about measures to conserve energy and activities of daily living involving the small joints, which activity observed by the nurse indicates the need for additional teaching? A)Pushing with palms when rising from the chair B)Holding packages close to the body C) Sliding objects D) Carrying a laundry basket with Clint fingers and fists

carrying a laundry basket with clinched fingers and fists

A 25-year-old client taking hydroxychloroquine (Plaquenil) for rheumatoid arthritis reports difficulty seeing out of her left eye. Correct interpretation of this assessment finding indicates which of the following? 1. Development of a cataract. 2. Possible retinal degeneration. 3. Part of the disease process. 4. A coincidental occurrence.

2. Difficulty seeing out of one eye, when evaluated in conjunction with the client's medication therapy regimen, leads to the suspicion of possible retinal degeneration. The possibility of an irreversible retinal degeneration caused by deposits of hydroxychloroquine (Plaquenil) in the layers of the retina requires an ophthalmologic examination before therapy is begun and at 6-month intervals. Although cataracts may develop in young adults, they are less likely, and damage from the hydroxychloroquine is the most obvious at-risk factor. Eyesight is not affected by the disease process of rheumatoid arthritis.

A client with rheumatoid arthritis states, I cannot do my household chores without becoming tired. My knees hurt whenever I walk. Which goal for this client should take priority? A) Conserve energy B) adapt self-care skills C)Develop coping skills D)Employ a housekeeping service

A

A nurse teaches a client about heat And cold treatments to manage arthritis pain. Which of the following indicates that the client still has a knowledge deficit

Heat producing liniment Can we

On a visit to the clinic, a client reports the onset of early symptoms of rheumatoid arthritis. The nurse should conduct a focused assessment for: 1. Limited motion of joints. 2. Deformed joints of the hands. 3. Early morning stiffness. 4. Rheumatoid nodules.

3. Initially, most clients with early symptoms of rheumatoid arthritis complain of early morning stiffness or stiffness after sitting still for a while. Later symptoms of rheumatoid arthritis include limited joint range of motion; deformed joints, especially of the hand; and rheumatoid nodules.