Ch 39 Nursing Management for Patients with Rheumatic Disorders NCLEX questions
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? "The fasting is okay, but make sure you drink fluids when exercising." "Make sure to eat some fat occasionally with all that exercise." "Try combining the fasting with moderate exercise." "There might be some difficulties with your plan and fasting."
"There might be some difficulties with your plan and fasting."
Which is an appropriate nursing intervention in the care of the client with osteoarthritis? Provide an analgesic after exercise Encourage weight loss and an increase in aerobic activity Assess for gastrointestinal complications associated with COX-2 inhibitors Avoid the use of topical analgesics
Encourage weight loss and an increase in aerobic activity
The nurse is preparing a teaching tool about the pathophysiology of systemic lupus erythematosus (SLE). Which immunoregulatory disturbance factors will the nurse include in this tool? Select all that apply. Genetic Hormonal Psychosocial Immunological Environmental
Genetic Hormonal Immunological Environmental
A 36-year-old woman has been experiencing debilitating pain and fatigue for several months and has sought care on numerous occasions from several different care providers. She is now being assessed for fibromyalgia. The patient tells the clinic nurse that it is an incredible relief to have a possible diagnosis, stating, "I felt for so long that absolutely no one was taking me seriously." The nurse should recognize that this statement represents an improvement in which of the following nursing diagnoses? Powerlessness Ineffective coping Ineffective therapeutic regimen management Anxiety
Powerlessness
The nurse is discussing life management with the client with rheumatoid arthritis in a health clinic. What assessment finding indicates the client is having difficulty implementing self-care? ability to perform activities of daily living (ADL) decreased joint pain increased fatigue a weight gain of 2 pounds
increased fatigue