Inflammatory rheumatic disorders Questions
A health care provider orders tests to determine if a client has systemic lupus erythematosus (SLE). Which test result helps to confirm an SLE diagnosis?
An above-normal anti-deoxyribonucleic acid (DNA) test
A client with rheumatoid arthritis arrives at the clinic for a checkup. Which statement by the client refers to the most overt clinical manifestation of rheumatoid arthritis?
"My finger joints are oddly shaped."
The nurse reviews information collected during a health history with a client. Which information will the nurse identify that increases the client's risk of developing gout? Select all that apply.
-older adulthood -male gender -body mass index 38 -ingests 4 cans of beer a day
The nurse is planning teaching for a client with gout. Which topics will the nurse include in the teaching? Select all that apply.
-weight loss -decreasing alcohol intake -avoid purine rich foods
As part of the assessment process for a client suspected of having gout, the nurse evaluated the client's serum uric acid levels. Select the value that is considered above the saturation point for crystal formation.
6.8
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
A nurse is assessing a client with possible osteoarthritis. What is the most significant risk factor for primary osteoarthritis?
age
A nurse is teaching a client about rheumatoid arthritis. Which statement by the client indicates understanding of the disease process?
it will get better and worse again
The nurse is assessing a client with a history of ankylosing spondylitis. What will the nurse most commonly assess?
low back pain
Which connective tissue disorder is characterized by insoluble collagen being formed and accumulating excessively in the tissues?
scleroderma
The nurse is performing a health history with a new client with fibromyalgia. What will the nurse expect to assess as the most common finding associated with fibromyalgia?
widespread chronic pain
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 with a discoid facial rash caused by systemic lupus erythematosus (SLE) asks why a urine sample is needed. Which response will the nurse make to the client?
"The lupus can affect your kidney function."
A client is newly diagnosed with rheumatoid arthritis. For which medications will the nurse prepare teaching for this client? Select all that apply.
-Ibuprofen -Prednisone -methotrexate
what are the Adverese effect of prednisone?
-catarcts -glaucoma -cushings syndrome -osteoperosis -hypergylcemia -ulcers -adrneal insufficency
The nurse is caring for a client with bilateral lower extremity weakness. Which test(s) will the nurse expect to be prescribed to determine if the client has polymyositis? Select all that apply.
-muscle biopsy and -electromyogram
What is prednisone used for?
1. Inflammatory conditions -asthma -COPD -rheumatic disorders -allergic reactions 2. Organ transplant rejection -prevents organ transplant rejection
Which finding is consistent with the diagnosis of rheumatoid arthritis?
cloudy synovial fluid
The nurse is gathering a health history for a client with osteoarthritis. What clinical manifestation will the nurse expect to find?
early morning stiffness
Which is an appropriate nursing intervention in the care of the client with osteoarthritis?
encourage weight loss and an increase in aerobic activity
Fibromyalgia is a common condition that involves
Chronic fatigue, generalized muscle aching, and stiffness
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
Can a patient stop taking prednisone aburptly?
NO -they must be tapered off gradually
The nurse is caring for a client with ankylosing spondylitis (AS). Which medication will the nurse expect to be prescribed for this client?
NSAIDs
Which of the following refers to fixation of a joint?
ankylosis
Which of the following procedures involves a surgical fusion of the joint?
arthrodesis
A client is experiencing painful joints and changes in the lungs, heart, and kidneys. For which condition will the nurse schedule this client for diagnostic tests?
autoimmune 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
A client is being treated for hyperuricemia. Part of the treatment strategy is for the client to avoid contributing factors whenever possible. Which activities might bring on an acute attack?
eating organ meats and sardines
The nurse teaches the client that the presence of crystals in the synovial fluid obtained from arthrocentesis confirms which disease process?
gout
The nursing assessment findings reveal joint swelling and tenderness in the great toe of a client. What does the nurse suspect?
gout
A patient is hospitalized with a severe case of gout. The patient has gross swelling of the large toe and rates pain a 10 out of 10. With a diagnosis of gout, what should the laboratory results reveal?
hyperuricemia
A client asks the nurse how to identify rheumatoid nodules with rheumatoid arthritis. What characteristic will the nurse include?
located over bony prominence
A nurse is preparing a client with systemic lupus erythematosus (SLE) for discharge. Which instruction should the nurse include in the teaching plan?
monitor your body temperature
Which joint is most commonly affected in gout?
Metatarsophalangeal
The nurse is caring for a client with palindromic rheumatism. The nurse knows that this type of rheumatism can lead to which diagnosis?
Rheumatoid arthritis
The nurse is caring for a client with ankylosing spondylitis. Which educational information will the nurse provide to this client?
Use of analgesics
Which client is most likely to develop systemic lupus erythematosus (SLE)?
a 27 year old black female
what is predinsone?
a glucocorticoid -steroid -decreases inflammation
Colchicine
Give with meals -- anti gout, remember if diarrhea develops, stop the drug
