PN Rheumatoid Arthritis HESI Case Study 100% correct

PN Rheumatoid Arthritis HESI Case Study 100% correct What action should the PN implement in response to the client's concern? C. Offer assurance that bone scan will not affect the client's metal implants. In addition to a positive RF, the PN recognizes which laboratory result as consistent with RA? D. Increased erythrocyte sedimentation rate (ESR). The PN explains the pain in June's joints as having what etiology? C. Inflammation. The PN's response is based on an understanding of disease risk factors. Which risk factors are associated with rheumatoid arthritis? (Select all that apply.) B. Genetic predisposition. E. Viral infections and increased stress. The PN recognizes which additional manifestation as being associated with RA? (Select all that apply.) B. Ulnar deviation. C. Dry mouth and dry eyes. F. Persistent low-grade fever. Which joint symptom(s) should the PN inquire about? (Select all that apply.) A. Limited motion. E. Morning joint stiffness. Which additional property of aspirin will help reduce June's joint pain? B. Analgesic. Which instruction about aspirin should the PN reinforce? B. Be sure to take enteric-coated aspirin tablets. Which adverse effect of methotrexate places the client at the highest risk for infection? C. Neutropenia. How should the PN respond? B. Explain to the client that the medication should not be discontinued abruptly. June's HCP prescribes methotrexate 2.5 mg PO q12h for 3 doses, then 7.5 mg weekly dose. Methotrexate tablets are available in 2.5 mg. When June starts the 7.5 mg weekly dose, how many pills will she be required to take? 3 Before concluding the conversation about the client's medications, which question is most important for the PN to ask June? D. Do you have a plan for where and how you will store you medications? How should the PN respond? C. Clarify that it may take up to 6 months for the medications to relieve symptoms. What nursing intervention will promote improved coping for June? D. Help June practice problem-solving techniques. What other interventions should the PN reinforce to help June cope and manage her disease symptoms? (Select all that apply) B. Use relaxation techniques. C. Avoid wearing high heeled shoes. E. Eat several small meals a day. The PN provides June with an education that will assist her in activities of daily living. What type of information should be included in the discharge teaching? (Select all that apply) A. Increased stiffness can occur with periods of inactivity. B. Plan and eat well balanced meals in order to maintain a healthy weight. D. Continue to take all medication as prescribed. E. Plan activities that can be stopped immediately if needed. How should the PN reinforce the information provided about June's dietary needs? C. Choose iron-rich foods. What action should the PN take next? D. Gather information about any other recent changes and report the findings to the health care provider. What actions should the PN take while awaiting the arrival of the HCP in the exam room? B. Measure and record the vital signs. How should the PN respond? C. Step outside the exam room briefly to confer with the UAP about the supplies. What action should the PN take next? B. Meet privately with the UAP to discuss the identified concerns about privacy. In addition to offering June emotional support, which client teaching should the PN reinforce about managing her chronic pain? A. Apply moist warm packs to affected joints. Which instruction should the PN reinforce to promote improved mobility? D. Use joint splints for joint support and to help maintain good alignment. What is the PN's best response? A. "You seem very overwhelmed right now." What is the PN's best response to this remark? B. "Have you considered speaking with the healthcare provider about surgical joint replacement?" Which description should the PN use to respond to June's request? A. Artificial joints will replace both knee joints during surgery.