RHEUMATOID ARTHRITIS EXAM 1 2024 COMPLETE QUESTIONS AND ANSWERS (PROVIDES RATIONALE FOR EACH ANSWER) GRADED A+

RHEUMATOID ARTHRITIS EXAM 1 2024 COMPLETE QUESTIONS AND ANSWERS (PROVIDES RATIONALE FOR EACH ANSWER) GRADED A+ 1. A client is admitted to the emergency department with joint pain and swelling. Upon assessment the nurse suspects rheumatoid arthritis.Whichfindings support the nurse's conclusion? Select all that apply. 1. obesity 2. antinuclear antibodies 3. inflammatory disease pattern 4. disease in the bilateral symmetric joints 5. disease in the distal intrapharyngeal joints 6. disease in the weight-bearing joints and hands: 2, 3, 4 Rationale: Rheumatoid arthritis is an autoimmune disorder identified by the presence of an-tinuclear antibodies. Disease in the bilateral symmetric joints is generally seen in rheumatoid arthritis. Rheumatoid arthritis involves inflammation of the joints. Osteoarthritis involves degeneration of the joints. Obesity is a risk factor for os-teoarthritis. Osteoarthritis affects weight-bearing joints and the hands. 2. Which type of hypersensitivity reaction is associated with rheumatoidarthritis? 1. delayed 2. cytotoxic 3. IgE-mediated 4. Immune-complex: 4 Rationale: Rheumatoid arthritis is an autoimmune disorder associated with an immune-com- plex type of hypersensitivity reaction. Contact dermatitis caused by poison ivy is associated with a delayed type of hypersensitivity reaction.Goodpasture'ssyndromeis associated with a cytotoxic type of hypersensitivity reaction.Asthma is associatedwith an IgE-mediated type of hypersensitivity reaction. RHEUMATOID ARTHRITIS EXAM 1 2024 COMPLETE QUESTIONS AND ANSWERS (PROVIDES RATIONALE FOR EACH ANSWER) GRADED A+ 3. After assessing a client with rheumatoid arthritis, the nurse suspects Sjö-gren's syndrome. Which manifestations are consistent with Sjögren's syn- drome? Select all that apply. 1. iritis 2. scleritis 3. xerostomia 4. baker's cyst 5. keratoconjunctivitis sicca: 3, 5 Rationale: Sjögren's syndrome, commonly associated with advanced rheumatoid arthritis, includes such symptoms as xerostomia (dry mouth) and keratoconjunctivitis sicca (dry eyes). Iritis and scleritis are eye complications and do not indicate Sjögren's syndrome.A Baker's cyst is an enlargement of a popliteal bursa (behind the knee);itis commonly found in people with rheumatoid arthritis but does not indicate Sjögren'ssyndrome. 4. The nurse is assessing a client with severe nodule-forming rheumatoid arthritis for possible Felty syndrome.Which assessment findings are consis-tent with Felty syndrome? Select all that apply. 1. itchy eyes 2. dry mouth 3. leukopenia 4. splenomegaly 5. photosensitivity: 3, 4 Rationale: Felty syndrome occurs most commonly in clients with severe nodule-forming rheumatoid arthritis;it is characterized by splenomegaly and leukopenia.Itchy eyes,dry mouth, and photosensitivity are all signs of Sjögren syndrome. 5.What is the nurse's primary consideration when caring for a client withrheumatoid arthritis? RHEUMATOID ARTHRITIS EXAM 1 2024 COMPLETE QUESTIONS AND ANSWERS (PROVIDES RATIONALE FOR EACH ANSWER) GRADED A+ 1. surgery 2. comfort 3. education 4. motivation: 2 Rationale: Because pain is an all-encompassing and often demoralizing experience, the clientshould be kept as painfree as possible. Surgery is used to correct deformities and facilitate movement, which is not the priority. Concentration and motivation aredifficult when a client is in severe pain. 6. A client who has been taking ibuprofen for rheumatoid arthritis asks the nurse if acetaminophen can be substituted instead.What is the appropriatenursing response? 1. "acetaminophen is the preferred treatment for rheumatoid arthritis" 2. "acetaminophen irritates the stomach more than ibuprofen does" 3. "ibuprofen has antiinflammatory properties and acetaminophen does not" 4. "yes, both are antipyretics and have the same effect": 3 Rationale: Ibuprofen has an antiinflammatory action that relieves the inflammation and pain associated with arthritis.Acetaminophen is not a nonsteroidal antiinflammatory drug(NSAID). NSAIDs are preferred for the treatment of rheumatoid arthritis. Aceta- minophen does not cause gastritis; this is an effect of aspirin. Ibuprofen is not an antipyretic. 7. A married couple in their 80s is living independently.They have three adultchildren.The husband,who is alert but forgetful, has an enlarged prostate andat timesisincontinent of urine.The wife has diabetes and rheumatoid arthritisand walks with difficulty. Both need assistance with bathing, dressing, and meal preparation. What does the nurse suggest as the most suitable plan forthis couple? 1. admit them together to a nursing home