assessment and management of patients with inflammatory rheumatic disorders

The nurse is completing a health history with a client in a clinic. What assessment finding best correlates with a diagnosis of osteoarthritis? erythema and edema over the affected joint joint stiffness that increases with activity anorexia and weight loss fever and malaise

joint stiffness that increases with activity

The nurse is discussing life management with the client with rheumatoid arthritis in a health clinic. What assessment finding indicates the client is having difficulty implementing self-care? increased fatigue a weight gain of 2 pounds ability to perform activities of daily living (ADL) decreased joint pain

increased fatigue

A client with rheumatoid arthritis arrives at the clinic for a checkup. Which statement by the client refers to the most overt clinical manifestation of rheumatoid arthritis? "My finger joints are oddly shaped." "I have pain in my hands." "My legs feel weak." "I have trouble with my balance."

"My finger joints are oddly shaped."

An older adult with rheumatoid arthritis says exercise was not effective. Which response will the nurse make to learn the reason for the failure of this treatment approach? "Do you think you are too old to exercise?" "What types of exercise were you doing?" "Why do you think the exercise didn't work?" "Does exercise usually work for you?"

"What types of exercise were you doing?"

A client is experiencing an acute exacerbation of rheumatoid arthritis. What should the nursing priority be? Administering ordered analgesics and monitoring their effects Providing comprehensive client teaching; including symptoms of the disorder, treatment options, and expected outcomes Performing meticulous skin care Supplying adaptive devices, such as a zipper-pull, easy-to-open beverage cartons, lightweight cups, and unpackaged silverware

Administering ordered analgesics and monitoring their effects

Which term refers to fixation or immobility of a joint? Arthroplasty Ankylosis Hemarthrosis Diarthrodial

Ankylosis

The nurse is preparing to educate a client with rheumatoid arthritis on long-term effects of prednisone therapy. Which topic will the nurse include in the teaching? Make sure to fast for at least 12 hours per day Eat a lower calorie diet to manage weight gain. Decrease food intake to two meals per day. Report weight gain to your health care provider immediately.

Eat a lower calorie diet to manage weight gain.

The nurse is reviewing the diagnostic test findings of a client with rheumatoid arthritis. What would the nurse expect to find? Increased red blood cell count Increased C4 complement Increased albumin levels Elevated erythrocyte sedimentation rate

Elevated erythrocyte sedimentation rate

The nurse is reviewing the diagnostic test findings of a client with rheumatoid arthritis. What would the nurse expect to find? Elevated erythrocyte sedimentation rate Increased red blood cell count Increased C4 complement Increased albumin levels

Elevated erythrocyte sedimentation rate

A nurse is assessing a client with possible osteoarthritis. What is the most significant risk factor for primary osteoarthritis? age congenital deformity trauma obesity

age

A client is being discharged from the hospital after being diagnosed with and treated for systemic lupus erythematosus (SLE). What would the nurse not say when teaching the client and family information about managing the disease? Avoid sunlight and ultraviolet radiation. Maintain a well-balanced diet and increase fluid intake to raise energy levels and promote tissue healing. If you have problems with a medication, you may stop it until your next physician visit. Pace activities.

If you have problems with a medication, you may stop it until your next physician visit.

A client has a serum study that is positive for the rheumatoid factor. What will the nurse tell the client about the significance of this test result? It is specific for rheumatoid arthritis. It is suggestive of rheumatoid arthritis. It is diagnostic for systemic lupus erythematosus. It is diagnostic for Sjögren's syndrome.

It is suggestive of rheumatoid arthritis.

Which of the following disorders is characterized by an increased autoantibody production? Systemic lupus erythematosus (SLE) Scleroderma Rheumatoid arthritis (RA) Polymyalgia rheumatic

Systemic lupus erythematosus (SLE)

A client is taking ibuprofen for the treatment of osteoarthritis. What education will the nurse give the client about the medication? Inform the health care provider if there is ringing in the ears. Take the medication with food to avoid stomach upset. Since the medication is able to be obtained over the counter, it has few side effects. Take the medication on an empty stomach in order to increase effectiveness.

Take the medication with food to avoid stomach upset.

Which term indicates an accumulation of crystalline depositions in articular surfaces, bones, soft tissue, and cartilage? Joint effusion Subchondral bone Tophi Pannus

Tophi

A client is experiencing painful joints and changes in the lungs, heart, and kidneys. For which condition will the nurse schedule this client for diagnostic tests? Autoimmune disorders Vascular diseases Heart disease Metabolic disorders

autoimmune disorders

A client is being treated for hyperuricemia. Part of the treatment strategy is for the client to avoid contributing factors whenever possible. Which activities might bring on an acute attack? frequently ingesting salicylates high carbohydrate intake eating organ meats and sardines frequently drinking coffee

eating organ meats and sardines

The nurse is teaching the client newly diagnosed with systemic lupus erythematous about the condition. Which statement by the client indicates teaching was effective? "My medications will ultimately correct my problem." "I should avoid prolonged sun exposure." "My energy level will gradually increase over time." "I do not need to make any changes in my diet."

i should avoid prolonged sun exposure

A client is experiencing an acute attack of gout. Which medications will the nurse anticipate being prescribed for this client? Select all that apply. Ibuprofen Febuxostat Allopurinol Colchicine Prednisone

ibuprofen colchicine \ prednisone

The nurse is discussing the new medication that a client will be taking for treatment of rheumatoid arthritis. Which disease-modifying antirheumatic drug (DMARD) will the nurse educate the client about? Methylprednisolone Methotrexate Mercaptopurine azathioprine Celecoxib

methotrexate