PATHO Prep U: Chapter 50
Which signs and symptoms should prompt a young woman's primary care provider to assess for systemic lupus erythematosus (SLE)?
Joint pain and proteinuria
The nurse is conducting a health promotion class on osteoarthritis (OA). Which statement should the nurse include?
Obesity is a strong risk factor for developing OA.
A client sought care because of increasing pain and inflammation in the toe and ankle of one foot. Diagnostic testing has resulted in a diagnosis of gouty arthritis. When educating the client about the treatment and management of the disease, what should the nurse teach the client?
"Losing some weight and reducing your alcohol intake will likely be beneficial."
A nurse is teaching a group of nursing students about the presentation of systemic lupus erythematosus (SLE). Which statement is the nurse likely to make?
"More women than men are affected by lupus."
A nurse is caring for a client with a fractured elbow. Which instruction is important to give the client to prevent cartilage degeneration while the elbow is immobilized?
"To prevent cartilage atrophy, slowly and gradually resume exercising."
The nurse determines that additional client education is needed when a client with gout makes which statement?
"When I have an exacerbation of my symptoms, a glass of red wine will be helpful."
The nurse is assessing a client's risk for osteoarthritis. Which factor places the client at greatest risk for this condition?
Age
When caring for a client with ankylosing spondylitis, the nurse tells the client that stiffness may be relieved by which intervention?
Gentle exercise
The nurse is assessing a client with ankylosing spondylitis (AS). What does the nurse expect to find?
Lower back pain
A client presents with joint pain and suspected rheumatoid arthritis (RA). Which intervention is appropriate for the nurse to implement?
Muscle-strengthening exercises to support joints
The nurse is caring for a client with newly diagnosed systemic lupus erythematosus (SLE). Which over-the-counter medication does the nurse recognize is useful in treating inflammation, arthritis, and pleuritis?
Nonsteroidal anti-inflammatory drugs (NSAIDs)
The client with a suspected diagnosis of osteoarthritis asks the health care provider, "How will this diagnosis be confirmed?" Which response is most appropriate?
Physical examination and x-ray studies
Giant cell arteritis is a comorbid condition of:
Polymyalgia rheumatica
The health care provider is assessing a client with a history of ankylosing spondylitis to note progression of the disease. On which area of the body will the provider focus the assessment?
Spine
A nurse is caring for a client with rheumatoid arthritis (RA). For which of these extra-articular manifestations does the nurse assess? Select all that apply.
Splenomegaly Lymphadenopathy Elevated erythrocyte sedimentation rate (ESR)
A nurse is caring for a child with systemic-onset juvenile idiopathic arthritis (JIA). Which assessment finding should be the priority for the nurse to intervene?
Temperature of 103.5°F (39.7°C).
The nurse is providing client education related to intra-articular corticosteroid injections. Which instruction should the nurse include?
The injections will be given only 3 to 4 times per year because they can increase joint destruction.
An older adult client has recently been diagnosed with rheumatoid arthritis. The nurse should focus assessment on which aspects?
Weight and nutritional status
The nurse is caring for clients with autoimmune conditions. Which client will the nurse assess first?
client with systemic lupus erythematosus reporting chest pain
Which diagnostic finding has been strongly linked to systematic lupus erythematosus (SLE)?
elevated anti-nuclear antibodies (ANA)
A client has been diagnosed with rheumatoid arthritis (RA). What will the nurse tell the client about this disorder's etiology?
"Genetic predisposition is very likely."
A nurse is caring for a client with ankylosing spondylitis. For which associated symptom does the nurse assess?
Kyphosis
