immunization set
A client was seen in the clinic for musculoskeletal pain, fatigue, mood disorders, and sleep disturbances. The physician has diagnosed fibromyalgia. What would not be a part of teaching plan for this condition?
Application of ice
What intervention is a priority when treating a client with HIV/AIDS?
Assessing fluid and electrolyte balance
A client with osteoarthritis asks for information concerning activity and exercise. When assisting the client, which concept should be included?
Exercise should be scheduled at least 1 hour after awakening.
A nurse is preparing a client with systemic lupus erythematosus (SLE) for discharge. Which instruction should the nurse include in the teaching plan?
Fever can signal an exacerbation and should be reported to the physician
When describing the effects of treatment for phagocytic cell disorders, which of the following would the nurse include as being the most successful?
Hematopoietic stem cell transplantation
The nurse is caring for a client with ankylosing spondylitis (AS). Which medication will the nurse expect to be prescribed for this client?
NSAIDs are the first-line therapy for treating all spondyloarthropathies
The nurse is completing the physical assessment of a client with systemic lupus erythematosus (SLE). Which finding will the nurse recognize is most likely to indicate that the client is experiencing a change to the cardiovascular system because of the condition?
Pericardial friction rub
A client is diagnosed with psoriatic arthritis. In which areas will the nurse expect the client to experience pain? Select all that apply.
Plantar fascia, Achilles tendon, or tibial tuberosity areas.
A client with systemic lupus erythematosus (SLE) is prescribed hydroxychloroquine. Which teaching will the nurse include for this client?
Smoking cessation
characteristic of rheumatoid arthritis.
Swan neck deformity, boutonniere deformity, and ulnar deviation
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.
Ankylosing spondylitis
affects the cartilaginous joints of the spine and surrounding tissues and is usually diagnosed in the second or third decade of life.
Sjogren's syndrome
autoimmune destruction of minor salivary glands and lacrimal glands
ankylosing spondylitis
chronic, progressive arthritis with stiffening of joints, primarily of the spine, early morning back stiffness
manifestation of AIDS onset
fatigue persistent fever diarrhea weight loss
The clinic nurse is caring for a patient newly diagnosed with fibromyalgia. When developing a care plan for this patient, what would be a priority nursing diagnosis for this patient?
fatigue, generalized muscle aching, and stiffness
Osteoarthritis is known as a disease that
is the most common and frequently disabling of joint disorders.
What intervention is a priority for a client diagnosed with osteoarthritis?
maintain joint mobility Learn appropriate activities
Fibromyalgia
multiples tender points
The goals of osteoarthritis disease management
1. decrease pain and stiffness and improve joint mobility. 2. remaining active are the most important client focus.
person is considered to have acquired immunodeficiency syndrome (AIDS)
the CD4+ count is less than 200/mm3.
When considering the characteristic signs and symptoms of scleroderma, what nursing diagnosis should the nurse prioritize?
1. Sclerotic changes in the skin, contractures in the fingers, and color changes or ulcerations in the fingertips due to poor circulation. 2. Risk for disturbed body image in patients with scleroderma.
treatment for acute SLE
corticoid steroids (prednisone): rapid anti-inflammatory
scleroderma
thickening and hardening of the skin
The term used to define the amount of virus in the body after the initial immune response subsides is
viral set point
A client cringes in pain when the nurse places the stethoscope over the upper back to assess breath sounds. On which condition will the nurse focus when assessing this client?
Fibromyalgia
Which joint is most commonly affected in gout?
the metatarsophalangeal joint of the big toe is the most commonly affected joint (90% of clients); this is referred to as podagra.
Nursing care for the client with fibromyalgia should be guided by the assumption that patients with fibromyalgia
1. Clients feel as though people are not listening to them 2. Clients present with widespread symptoms that are often vague in nature, health care providers may misdiagnose them
A client asks the nurse what the difference is between osteoarthritis (OA) and rheumatoid arthritis (RA). Which response is correct?
1. OA is a degenerative arthritis, characterized by the loss of cartilage on the articular surfaces of weight-bearing joints with spur development. 2. RA is characterized by inflammation of synovial membranes and surrounding structures. 3. OA may occur in one hip or knee and not the other, whereas RA commonly affects the same joints bilaterally. 4. RA is more common in women; OA affects both sexes equally.
The nurse is teaching a client about the characteristics of osteoarthritis. The nurse determines the client teaching was successful when the client states that which of the following may occur with osteoarthritis?
Heberden nodes are a characteristic
A diet plan is developed for a client with gouty arthritis. What should the nurse advise the client to limit the intake of?
High-purine foods include organ meats, anchovies, sardines, shellfish, chocolate, and meat extracts.
The nurse is constructing a teaching plan for the client newly diagnosed with scleroderma. What should the nurse include in the teaching plan?
Raynaud's phenomenon is associated with scleroderma. Client teaching must include strategies for protecting the feet and hands.
Which client is most likely to develop systemic lupus erythematosus (SLE)?
SLE strikes nearly 10 times as many women as men and is most common in women between ages 15 and 40. SLE affects more Black women than white women
Which connective tissue disorder is characterized by insoluble collagen being formed and accumulating excessively in the tissues?
Scleroderma
The nurse is teaching a client with osteoarthritis about the disease. What is the most important client focus for disease management?
Strategies for remaining active are the most important client focus
A client with a history of peptic ulcer disease is diagnosed with rheumatoid arthritis. What medication will the nurse anticipate will be prescribed to produce an anti-inflammatory effect and protect the stomach lining?
The cyclooxygenase-2 inhibitors, such as celecoxib, have been shown to inhibit inflammatory processes but do not inhibit the protective prostaglandin synthesis in the gastrointestinal (GI) tract
systemic lupus erythematosus (SLE)
fever, weight loss, malaise, fatigue, skin rashes, and polyarthralgia, facial erythema, (the classic butterfly rash), profuse proteinuria (excretion of more than 0.5 g/day of protein), pleuritis, pericarditis, photosensitivity, and painless mucous membrane ulcers.
A client is classified as HIV asymptomatic when the CD4+ T lymphocyte count
greater than 500/mm3
What would the nurse tell the patient is a well-recognized risk factor for osteoarthritis?
increased age, obesity, and previous joint damage
osteoarthritis
is the most common and frequently disabling of joint disorders.
What severe complication does the nurse monitor for in a patient with ataxia-telangiectasia?
overwhelming infection
A person is considered HIV symptomatic
the CD4+ count is 200 to 499/mm3.
