Rheumatoid Arthritis Test Questions – Flashcards
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Which nursing intervention related to the scheduled bone scan is most important to implement?
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Increasing fluid intake after a bone scan will help eliminate the injected radioisotope.
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Which etiologic factor is related to the onset of RA
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Genetic predisposition; because the incidence of RA in persons with a positive family history is significantly greater than for the general population, genetic predisposition is probably a significant etiologic factor. In addition increased stress has been linked to RA and viral infections are believed to be a trigger for the onset of this autoimmune disease
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Manifestation of RA include...
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Bilateral swollen tender joints, weight loss, fatigue, joint deformities and subcutaneous nodules, a persistent low grade fever.
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Aspirin toxicity
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Symptoms of aspirin toxicity include tinnitus, confusion, weakness, GI bleed, diarrhea
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Adverse effect of methotrexate
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Neutropenia. Decreased levels of neutrophils place the client at high risk for infection. The client with neutropenia should be instructed to institute measures to avoid infections.
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Intervention to implement for nursing diagnosis of impaired mobility
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Instruct patient regarding the use of joint splints to provide rest and support of the joints while maintaining good anatomical alignment.
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A nursing intervention to promote coping...
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Problem-solving techniques
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What is arthroplasty?
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Surgical joint replacement.
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Pathophysiology of RA
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1. Unknown factors cause joint inflammation & production of excess synovial fluid. 2. Pannus is formed 3. Tough fibrous connective tissue replaces the pannus 4. Fibrous tissue calcifies, bony ankylosis may lead to joint immobilization
