Inflammation

A client experiences an acute episode of rheumatoid arthritis. The nurse observes that the client's finger joints are swollen. The nurse concludes that this swelling most likely is related to:

Inflammation in the joint's synovial lining

What clinical manifestations does a nurse expect a client with systemic lupus erythematosus (SLE) most likely to exhibit? Select all that apply

Joint pain Facial rash Pericarditis

An 8-year-old child is admitted to the pediatric unit with nephrotic syndrome. What measures should the nurse expect to include in the plan of care for this child? Select all that apply.

Providing symptomatic care Eliminating high-sodium foods Monitoring response to steroids

A client who has intermittently been having painful, swollen knee and wrist joints during the past 3 months is diagnosed with rheumatoid arthritis. What type of diet should the nurse expect the health care provider to prescribe?

Regular diet with vitamins and minerals

A client was diagnosed with ulcerative colitis. Two months after the diagnosis, the client is readmitted for an exacerbation of the illness. The client is weak, thin, and irritable. The client states, "I am now ready for surgery to create an ileostomy." Which nursing intervention will best help meet the client's priority need?

Replace the client's fluids and electrolytes

A client who takes four 325-mg tablets of buffered aspirin four times a day for severe arthritis complains of dizziness and ringing in the ears. Which complication does the nurse conclude that the client probably is experiencing?

Salicylate toxicity

A client with ulcerative colitis has experienced frequent severe exacerbations over the past several years. The client is admitted to the hospital with intense pain, severe diarrhea, and cachexia. Which therapeutic course should the nurse expect the health care provider to explore with this client?

Surgical therapy (colectomy)

When preparing discharge teaching for a client who had a kidney transplant, in addition to a corticosteroid, the nurse expects what other medications to be prescribed to prevent kidney rejection?

Tacrolimus (Prograf) and mycophenolate mofetil (CellCept)

A client has received instructions to take 650 mg aspirin (ASA) every 6 hours as needed for arthritic pain. What should the nurse include in the client's medication teaching? Select all that apply

Take the aspirin with meals or a snack Do not chew enteric-coated tablets. Report persistent abdominal pain

A nurse is assessing two clients. One client has ulcerative colitis and the other client has Crohn's disease. Which is more likely to be identified in the client with ulcerative colitis than the client with Crohn's disease?

Involvement starting distally with rectal bleeding that spreads continuously up the colon

A client is admitted with the diagnosis of acute pancreatitis. For which clinical manifestations should a nurse assess the client? Select all that apply .

Jaundice Acute pain Increased amylase

After recovery from a modified neck dissection for oropharyngeal cancer, the client receives external radiation to the operative site. For which most critical reaction to the radiation should the nurse assess the client?

Mucosal edema

A nurse is caring for a client who had a splenectomy. For which complication should the nurse specifically assess in the immediate postoperative period?

Abdominal distention

A nurse is reviewing the history, physical examination, and diagnostic test results of a client with colitis. What clinical findings are associated with this disorder? Select all that apply .

Anemia Diarrhea Abdominal cramps

What is the most appropriate assessment with which to detect the development of complications associated with acute glomerulonephritis (AGN) in a school-aged child?

Checking the blood pressure every 4 hours

A nurse assesses a client's intravenous site. What clinical finding, unique to infiltration, leads the nurse to conclude that the intravenous (IV) site has infiltrated, rather than become inflamed?

Coolness

A client arrives at a health clinic reporting hematuria, frequency, urgency, and pain on urination. What does the nurse suspect is the cause of these signs and symptoms?

Cystitis

A client with myasthenia gravis is to receive immunosuppressive therapy. The nurse anticipates that this therapy will be effective because it:

Decreases the production of autoantibodies that attack acetylcholine receptors.

A client with arthritis is taking ibuprofen (Motrin), a nonsteroidal antiinflammatory drug, and large doses of aspirin (ASA). The nurse teaches the client about the clinical manifestations of aspirin toxicity, including:

Disturbances in hearing

A client has a kidney transplant. The nurse should monitor for which signs associated with rejection of the transplant? Select all that apply.

Fever Oliguria Weight gain

A client is evaluated at a clinic, and the health care provider suspects that the client has anemia and a peptic ulcer. To determine if the client has peptic ulcer, the nurse expects that what diagnostic test will be performed?

Gastric culture

The nurse observes that there is plaque on the child's teeth. There are also signs of simple gum inflammation. Which condition does the nurse suspect in the child?

Gingivitis

A nurse develops a teaching plan for a client with rheumatoid arthritis. What should the nurse include in the plan about ways to reduce joint stress?

If experiencing pain after one to two hours of activity, actively take measures to address the pain

A nurse is reviewing the laboratory results of and collecting a health history from a client with a diagnosis of colitis. Which common clinical manifestation of colitis should the nurse expect?

Weight loss