Nsg 123 Med Surg Exam 5 with 82
correct answers.
Nsg 123 Med Surg Exam 5 with 82
correct answers.
What is rheumatoid arthritis? - ANSWER An Autoimmune disorder define by progressive, breakdown of
cartilage and inflammation between the joints.
Characterized by systemic, autoimmune inflammation
Who is more likely to get Rheumatoid arthritis? - ANSWER Risk factors:
women by 2-3x more likely to get it (African, Latin)
Family Hx
Illness ( viral and bacterial)
Environmental ( smoking 🚬, pollution)
Key points about immune diseases - ANSWER Exact mechanism causing autoimmunity is unknown
Autoimmune diseases frequently seen in families
Self recognition by the immune system is impaired
Immune system attacks host tissues and cause inflammation and damage
Characterized by exacerbations and remissions
,Nsg 123 Med Surg Exam 5 with 82
correct answers.
What are some clinical manifestations on a patient with RA? - ANSWER Symmetric pain & swelling in the
small joints (often start in the hands)
Extreme morning stiffness (>30 minutes) & improves w movement
Swollen joints & warm
Soft and tender joints
Patient will have pain relief with activity and more pain at rest
Affect same joints billatery
How the finger would look like in the late stage of RA? - ANSWER Fingers deformations
-swan-neck
- boutonniere
Assessment on a client with rheumatoid arthritis. The nurse check for which assessment finding that is
associated either RA ? - ANSWER Systemic symptoms such as:
fatigue, anorexia, and weight loss
What diagnostic testing can be ordered to help a physician diagnose rheumatoid arthritis? - ANSWER 1.
Antibodies to cyclic citrullinated peptide(anti-CCP)
(seen in 95%)
, Nsg 123 Med Surg Exam 5 with 82
correct answers.
2. Rheumatoid Factor RF
Other non specific inflammatory markers
-ESR Erythrocyte sedimentation rate
-CRP C-reactive protein
X-ray show join deterioration
What should the nurse assess in a pt with RA prior to starting medications? - ANSWER complete blood
count (CBC)
tuberculin (TB) skin test
Hepatitis B & C
What is the goal of treatment at all pass of the RA ? - ANSWER decrease of joint damage deformity &
inflammation
clinical remission
minimize disability
How can a patient do to slow the damage of RA? - ANSWER Keep those joints moving (ROM)
rest btw activities
Encourage food sleep hygiene
correct answers.
Nsg 123 Med Surg Exam 5 with 82
correct answers.
What is rheumatoid arthritis? - ANSWER An Autoimmune disorder define by progressive, breakdown of
cartilage and inflammation between the joints.
Characterized by systemic, autoimmune inflammation
Who is more likely to get Rheumatoid arthritis? - ANSWER Risk factors:
women by 2-3x more likely to get it (African, Latin)
Family Hx
Illness ( viral and bacterial)
Environmental ( smoking 🚬, pollution)
Key points about immune diseases - ANSWER Exact mechanism causing autoimmunity is unknown
Autoimmune diseases frequently seen in families
Self recognition by the immune system is impaired
Immune system attacks host tissues and cause inflammation and damage
Characterized by exacerbations and remissions
,Nsg 123 Med Surg Exam 5 with 82
correct answers.
What are some clinical manifestations on a patient with RA? - ANSWER Symmetric pain & swelling in the
small joints (often start in the hands)
Extreme morning stiffness (>30 minutes) & improves w movement
Swollen joints & warm
Soft and tender joints
Patient will have pain relief with activity and more pain at rest
Affect same joints billatery
How the finger would look like in the late stage of RA? - ANSWER Fingers deformations
-swan-neck
- boutonniere
Assessment on a client with rheumatoid arthritis. The nurse check for which assessment finding that is
associated either RA ? - ANSWER Systemic symptoms such as:
fatigue, anorexia, and weight loss
What diagnostic testing can be ordered to help a physician diagnose rheumatoid arthritis? - ANSWER 1.
Antibodies to cyclic citrullinated peptide(anti-CCP)
(seen in 95%)
, Nsg 123 Med Surg Exam 5 with 82
correct answers.
2. Rheumatoid Factor RF
Other non specific inflammatory markers
-ESR Erythrocyte sedimentation rate
-CRP C-reactive protein
X-ray show join deterioration
What should the nurse assess in a pt with RA prior to starting medications? - ANSWER complete blood
count (CBC)
tuberculin (TB) skin test
Hepatitis B & C
What is the goal of treatment at all pass of the RA ? - ANSWER decrease of joint damage deformity &
inflammation
clinical remission
minimize disability
How can a patient do to slow the damage of RA? - ANSWER Keep those joints moving (ROM)
rest btw activities
Encourage food sleep hygiene
