Pathophysiology test 3 ch 50
The parents of a child diagnosed with rheumatic disease are shocked by the diagnosis and tell the nurse that they did not think children could acquire the disease. The best response would be:
"Children can be affected with almost all of the rheumatic diseases that occur in adults."
Which statement is true regarding the development of juvenile idiopathic arthritis?
Generalized stunted growth can occur.
When caring for a client with ankylosing spondylitis, the nurse tells the client that stiffness may be relieved by which intervention?
Gentle exercise
A nurse is caring for a client undergoing antineoplastic chemotherapy for acute leukemia. Which diagnostic study does the nurse monitor to detect the consequences of the rapid lysis of cancer cells?
Hyperuricemia
A nurse is caring for a client who has systemic lupus erythematosis (SLE). Which of the following causes the disease?
Autoimmune process
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 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."
The nurse is caring for a client with acute gout. The nurse reviews the client's medical history for what possible contributors to secondary gout? Select all that apply.
A decreased glomerular filtration rate Diagnosed with a hemolytic anemia Has been taking a cytotoxic medication
Which diagnostic finding has been strongly linked to systematic lupus erythematosus (SLE)?
Elevated anti-nuclear antibodies (ANA)
Gout, or gouty arthritis, cannot be diagnosed on the basis of hyperuricemia. What is the diagnostic criterion for gout?
Finding of monosodium urate crystals in the synovial fluid
An older adult client has had mobility and independence significantly impaired by the progression of rheumatoid arthritis (RA). What is the primary pathophysiologic process that has contributed to this client's decline in health?
Immunologically mediated joint inflammation
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 teaching a client with systemic lupus erythematosus (SLE) about the typical treatment course with this condition. In what order does the nurse list the typical classes of medication used from earliest stages to the latest stages of the disease? Use all options
Nonsteroidal anti-inflammatory drugs (NSAIDs) The antimalarial drug hydroxychloroquine Systemic corticosteroid drugs Immunosuppressive medications
he 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
The nurse assessing a client with scleroderma with CREST variant would include an assessment for:
Raynaud's phenomenon.
When assessing a child for clinical manifestations of oligoarticular arthritis, the health care provider will base the diagnosis on which clinical findings?
Right knee is warm and painful when putting it through normal range of motion.
When a nurse is caring for a client with gout, which diagnostic study supporting the presence of the disease does the nurse monitor?
Uric acid levels
An older adult client has recently been diagnosed with rheumatoid arthritis. The nurse should focus assessment on which aspects?
Weight and nutritional status
Juvenile dermatomyositis is a chronic inflammatory myopathy that commonly manifests systemically. What is the treatment of choice for this myopathy?
corticosteroids
Reiter syndrome is a reactive arthropathy. Reiter syndrome is associated with which disease?
gonorrhea
When a nurse is assessing a client with osteoarthritis, which factor poses a risk for the disease?
obesity
The nurse is conducting a health promotion class on osteoarthitis (OA). Which statement should the nurse include?
Obesity is a strong risk factor for developing OA.
Which substance helps maintain a smooth surface in joint cartilage?
synovial fluid
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 and gradually resume exercise
