Chapter 38: Assessment and Management of Patients With Rheumatic Disorders
The nurse is educating a client about the risks of stroke related to the new prescription for a COX-2 inhibitor and what symptoms to report. Which COX-2 inhibitor is the nurse educating the client about?
Celecoxib
The nurse is caring for a client with a new onset of gout. What medication does the nurse anticipate will be ordered by the health care provider?
colchicine
The client asks the nurse about types of exercise that do not stress the joints. What exercise will the nurse include in the teaching plan?
t'ai chi
An older adult with rheumatoid arthritis limits going out with others because of the need to use a cane. Which response will the nurse make to this client?
"Look at the cane as maintaining your independence."
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 suspected of having systemic lupus erythematosus (SLE) is being scheduled for testing. The client asks which of the tests ordered will determine positivity for the disorder. Which statement by the nurse is most accurate?
"The diagnosis won't be based on the findings of a single test but by combining all data found."
A client with gout has been advised to lose weight. The client informs the nurse of plans to go on a "guaranteed rapid weight loss" plan that involves fasting and heavy exercise. Which response would be most appropriate?
"There might be some difficulties with your plan and fasting."
The nurse intervenes to assist the client with fibromyalgia to cope with which symptoms?
Chronic fatigue, generalized muscle aching, and stiffness
Which is an appropriate nursing intervention in the care of the client with osteoarthritis?
Encourage weight loss and an increase in aerobic activity
A client with rheumatoid arthritis is prescribed a tumor necrosis factor (TNF)-alpha inhibitor. What medication might be prescribed?
Etanercept
A nurse assesses a client in the health care provider's office. Which assessment findings support a suspicion of systemic lupus erythematosus (SLE)?
Facial erythema, pericarditis, pleuritis, fever, and weight loss
The presence of crystals in synovial fluid obtained from arthrocentesis is indicative of
Gout
The client with osteoarthritis is seen in the clinic. Which assessment finding indicates the client is having difficulty implementing self-care?
Has a weight gain of 5 pounds
Which assessment suggests to the nurse that a client with systemic lupus erythematous is having renal involvement?
Hypertension
Which points should be included in the medication teaching plan for a client taking adalimumab?
It is important to monitor for injection site reactions.
What intervention is a priority for a client diagnosed with osteoarthritis?
Physical therapy and exercise
Which of the following disorders is characterized by an increased autoantibody production?
Systemic lupus erythematosus (SLE)
The nurse is caring for a client with ankylosing spondylitis. Which educational information will the nurse provide to this client?
Use of analgesics
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.
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?
f you have problems with a medication, you may stop it until your next physician visit.
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
