Ch38 AH1
Which drug is not used in the treatment of rheumatoid arthritis?
allopurinol
A client asks the nurse what the difference is between osteoarthritis (OA) and rheumatoid arthritis (RA). Which response is correct?
"OA is a noninflammatory joint disease. RA is characterized by inflamed, swollen joints."
A client is experiencing an acute exacerbation of rheumatoid arthritis. What should the nursing priority be?
Administering oral analgesics and monitoring their effects.
antiarrhythmic drugs
Anti-inflammatory Disease-modifying antirheumatics (DMARDs) Glucocorticoids
What is the priority intervention for a client who has been admitted repeatedly with attacks of gout?
Assess diet and activity at home
A client with osteoarthritis asks for information concerning activity and exercise. When assisting the client, which concept should be included?
Delaying exercise for 1 hour after waking up allows the client to participate in exercise after some of the morning-related stiffness has subsided.
Which is not a symptom of osteoarthritis?
Morning stiffness that lasts 1 hour
Which condition is the leading cause of disability and pain in the elderly?
OA
What intervention is a priority for a client diagnosed with osteoarthritis?
PT and exercise
A client with osteoarthritis expresses concerns that the disease will prevent the ability to complete daily chores. Which suggestion should the nurse offer?
Pace yourself and rest
The nurse is constructing a teaching plan for the client newly diagnosed with scleroderma. What should the nurse include in the teaching plan?
Protect hands and feet from cold
The nurse is reviewing the diagnostic test findings of a client with rheumatoid arthritis. What would the nurse expect to find?
elevated ESR
Nursing assessment findings reveal joint swelling and tenderness of the great toe. The nurse suspects which of the following?
Gout
In teaching clients with osteoarthritis about their condition, it would be important for the nurse to focus on
Strategies for remaining active
A patient is taking NSAIDs for the treatment of osteoarthritis. What education should the nurse give the patient about the medication?
Take the medication with food to avoid stomach upset.
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?
Eating organ meat and sardines
The client with rheumatoid arthritis has a red blood cell count of 3.2 cells/cu mm. Which nursing diagnosis has the highest priority for the client?
Fatigue
A client informs the nurse that he has been diagnosed with degenerative joint disease of the fingers but now has these bumps on his fingers that don't hurt. The nurse observes bony nodules on the distal interphalangeal joints. What type of "bumps" does the nurse understand these are?
Heberden's nodes
The client with rheumatoid arthritis is seen in the clinic. Which assessment finding indicates the client is having difficulty implementing self-care?
Reports increased fatigue
A client is diagnosed with systemic lupus erythematosus (SLE). What is the most appropriate action for the nurse to take in order to evaluate the client's stage of disease?
Review the medical record
Which of the following disorders is characterized by an increased autoantibody production?
Systemic Lupus erythematosus (SLE)
After teaching a group of students about systemic lupus erythematosus, the instructor determines that the teaching was successful when the students state which of the following?
The belief is that it is an autoimmune disorder with an unknown trigger.
A nurse is developing a teaching plan for a client diagnosed with osteoarthritis. What instruction should the nurse give to the client to minimize injury?
Install safety devices at home
A nurse is teaching a client about rheumatoid arthritis. Which statement by the client indicates understanding of the disease process?
It gets better and it gets worse again
Nursing care for the client with fibromyalgia should be guided by the assumption that patients with fibromyalgia
May feel as if their symptoms are not taken seriously
Which joint is most commonly affected in gout?
Metatarsophalangeal
