NURS 321 Autoimmune Disorders Questions With Complete Solutions

Rheumatoid Arthritis correct answer: 1. Inflammation of connective tissue within synovial joints 2. Chronic, systemic autoimmune disease 3. Remission and exacerbation periods 4. Local tissue inflammation and localized symptoms plus extra-articular manifestations 5. Incidence increases with age Rheumatoid arthritis risk factors correct answer: 1. Genetic 2. Smoking 3. Stress 4. Infection Rheumatoid arthritis pathophysiology correct answer: 1. Autoantibody presence in response to abnormal antigens 2. Triggers formation of abnormal immunoglobulins 3. Forms immune complexes within synovial membrane or cartilage 4. Phagocytosis and T lymphocytes are also stimulated 5. Increased inflammatory response occurs Rheumatoid arthritis clinical manifestations correct answer: 1. Insidious fatigue, anorexia, weight loss, generalized stiffness, low grade fevers 2. Joint pain and stiffness after inactivity 3. Warmth, inflammation, and redness at joints 4. Symmetrical swelling of small joints of hands and feet, large peripheral joints, or cervical spine. 5. Morning stiffness lasting longer than 30 minutes Extra-articular manifestations of RA correct answer: 1. Rheumatoid nodules 2. Pleural effusions, pleuritis 3. Pericarditis, pericardial effusions 4. Eye inflammation, cataracts, loss of vision 5. Sjorgen's syndrom 6. Felty syndrome (splenomegaly and leukopenia) RA medication therapy correct answer: 1. NSAIDs or Aspirin 2. DMARDS 3. Corticosteroids 4. Biological response modifiers or target therapies 5. immunosuppressants RA nursing intervensions correct answer: 1. Nutrition 2. Infection prevention 3. Rest/activity balance 4. PT/OT 5. Heat or cold therapy 6. Emotional and psychosocial support