Chapter 38--Rheumatic Disorders
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 (shows inflammation)
Which assessment findings support a suspicion of systemic lupus erythematosus (SLE)?
Facial erythema, pericarditis, pleuritis, fever, and weight loss
why is it important to monitor for a fever in lupus?
Fever can signal an exacerbation
Which joint is most commonly affected in gout?
Metatarsophalangeal
differences between OA and RA
OA is a degenerative arthritis, characterized by the loss of cartilage on the articular surfaces of weight-bearing joints with spur development. Affects both sexes equally. RA is characterized by inflammation of synovial membranes and surrounding structures. More common in women.
Which assessment technique would cause pain that indicates fibromyalgia?
Pinch the Achilles tendon.
A client is diagnosed with psoriatic arthritis. In which areas will the nurse expect the client to experience pain?
Plantar fascia Achilles tendon Tibial tuberosities
Which term indicates an accumulation of crystalline depositions in articular surfaces, bones, soft tissue, and cartilage?
Tophi
A client is recovering from an attack of gout. What will the nurse include in the client teaching?
Weight loss will reduce uric acid levels and reduce stress on joints.
what type of disease is systemic lupus?
a diffuse connective tissue disease that affects multiple body systems.
When would be the best time for the nurse to perform range-of-motion exercises?
after a warm paraffin hand bath
Which term refers to fixation or immobility of a joint?
ankylosis
Which of the following procedures involves a surgical fusion of the joint?
arthrodesis
Why is it important for a gout to also be relatively high in carbohydrates and low in fats?
because carbohydrates increase urate excretion and fats retard it
The nurse knows that which finding from diagnostic tests can be used to diagnose rheumatoid arthritis?
boney erosions on x-ray
An arthrocentesis shows abnormal synovial fluid to look like what?
cloudy, milky, or dark yellow and contains numerous inflammatory components, such as leukocytes and complement.
medication for gout
colchicine
what can cause exacerbations of lupus?
exposure to sunlight
what is suggestive of renal damage in the client with systemic lupus erythematous?
hypertension
what is gout caused by?
hyperuricemia (increased serum uric acid).
Which condition is the leading cause of disability and pain in the elderly?
osteoarthritis
Which of the following disorders is characterized by an increased autoantibody production?
systemic lupus
who is lupus most likely to affect?
young-middle age black women
A client with a discoid facial rash caused by systemic lupus erythematosus (SLE) asks why a urine sample is needed. Which response will the nurse make to the client?
"The lupus can affect your kidney function."
Select the value that is considered above the saturation point for crystal formation.
6.8 mg/dL (0.40 mmol/L)
chronic inflammatory disease of the spine.
Ankylosing spondylitis (AS)
