Unit 1

Question 1

What are some appropriate teaching for clients with RA

Answer 1

• Stick to treatment plan
• keep up with current immunizations
• Report s/s infection
• ID safety hazards in the home
• Sit in high position to support upper limbs
• Set alarm 30 mins prior to waking up for medication administration.
• Women taking oral contraceptives need to change BC
• patients taking methotrexate need to counsel PCP
• No lives vaccines
• Educate patient on disease progression

Question 2

Medication treatments used for RA

Answer 2

Glucocorticoid
NSAIDs
DMARDs

Question 3

What is some education related to glucocorticoid for RA?

Answer 3

Suppresses inflammation
Monitor BS, Electrolytes (potassium), S/S of GI bleed , take medication at same time each day.

Question 4

What are some teaching for patients taking NSAIDs for RA ?

Answer 4

Pain relief and decrease of inflammation
Monitor for s/s of GI bleed, do not take with alcohol, clotting time is increased

Question 5

What are some teaching for patient taking DMARDs ?

Answer 5

Medication alters inflammatory response, decreases inflammation and slows disease progression
Monitor for S/S bleeding, NO IM INJECTION, monitor CBC/PLTs

Question 6

Joint pain and swelling
Erythema
Morning stiffness lasting more than 30 minutes
Low grade temp
Fatigue, anorexia and weight loss
Joint deformities
Decreased ROM
Disability

These are all clinical manifestations of ??

Answer 6

RA

Question 7

Butterfly rash
Weakness/fatigue
HTN , sensitivity to light
Joint pain, Alopecia , Raynaud’s phenomena
Oral/ nasal ulcers, anemia, leukopenia, thrombocytopenia

Are all clinical manifestations of ___????

Answer 7

SLE

Question 8

What labs are related to SLE?

Answer 8

ANA
ESR
C-reactive protein
BUN/Creatinine
Urinalysis

Question 9

A positive result of ANA confirms existence of ?

Answer 9

Autoimmune disease (SLE)