Timby Ch 63

A client is taking large amounts of salicylates should be aware to report which symptoms?

Ringing in the ears

When would be the best time for the nurse to perform range-of-motion exercises for a patient with rheumatoid arthritis.

After the client has had a warm paraffin hand bath

What is a procedure that will allow visualization of the extent of joint damage of the knee for a client with rheumatoid arthritis and also obtain a sample.

Arthroscopy

A client is receiving treatment for an acute episode of gout with colchicine. The nurse is administering the medication every 2 hours. What should the nurse be sure the client communicates so that the drug can be temporarily stopped?

Diarrhea Intestinal cramping Nausea and vomiting

The nurse is reviewing the diagnostic test findings of a client with rheumatoid arthritis. Which of the following would the nurse expect to find?

Elevated erythrocyte sedimentation rate

A client has been diagnosed with temporomandibular disorder and has not been able to eat. What suggestion can the nurse make to modify the diet so that the client will be able to eat?

Have the client eat soft rather than coarse food.

A client he has been diagnosed with degenerative joint disease. The nurse observes bony nodules on the distal interphalangeal joints. What type of "bumps" does the nurse understand these are

Heberden's nodes

. What is a good suggestion for A client with degenerative joint disease?

Maintain good posture

The nurse is discussing the new medication that a client will be taking for treatment of rheumatoid arthritis. Which disease-modifying antirheumatic drug (DMARD) will the nurse educate the client about?

Methotrexate (Rheumatrex)

Which of the following would a nurse encourage a client with gout to limit?

Purine-rich foods

A client with rheumatoid arthritis has infiltration of the lacrimal and salivary glands with lymphocytes as a result of the disease. What does the nurse understand that this clinical manifestation is?

Sicca syndrome

The nurse is gathering objective data for a client at the clinic complaining of arthritic pain in the hands. The nurse observes that the fingers are hyperextended at the proximal interphalangeal joint with fixed flexion of the distal interphalangeal joint. What does the nurse recognize this deformity as?

Swan neck deformity

A client receiving treatment for rheumatoid arthritis states that she is allergic to eggs. What would the client not be able to receive?

Synvisc

A client has been treated for migraine headaches for several months and comes to the clinic stating he is getting no better. The nurse is talking with the client and hears an audible click when the client is moving his jaw. What does the nurse suspect may be happening?

Temporomandibular disorder

The nurseobserves that the client has a flexion deformity of several toes on both feet of the proximal interphalangeal (PIP) joints. What can the nurse encourage the client to do?

Wear properly fitting shoes

Which of the following would the nurse expect to assess as the most common finding associated with fibromyalgia?

Widespread chronic pain

What lab studies that the nurse reviews indicate that the client may have gout?

uric acid levels