1.) A client is suffering from scleroderma. Which symptom might develop in the c

Question

1.) A client is suffering from scleroderma. Which symptom might develop in the client on exposure to cold?

Raynaud’s phenomenon

Joint swelling

Calcinosis

Esophageal motility disorder

Kaposi’s sarcoma

2.) A registered nurse is teaching a student nurse about rheumatoid arthritis. Assess the statements made by the student nurse and choose the statement that indicates the need for further teaching.

"Joints in the hands are affected initially."

"Swan neck and Boutonniere deformity of fingers are observed."

"Joint stiffness gets better with the use of the joints as the day goes on."

"Movement of joints increases pain."

"Rheumatoid arthritis is considered an autoimmune disease."

3.) A client with rheumatoid arthritis has Sjögren’s syndrome. What should be included in the care plan of the client to treat Sjögren’s syndrome? Select all that apply.

Administration of ophthalmic solution

Administration of medications to stimulate salivary gland function

Administration of pain medication

Applying heat to the joints

Including citrus fruits in the diet

4.) A client develops itching, skin erythema, and tongue edema immediately after having peanuts. On examination, the client is found to have low blood pressure. What medication would be given to treat this condition? Select all that apply.

Epinephrine

Antihistamine

Glucocorticoid

Intranasal corticoid

Aspirin

Explanation / Answer

1) Raynaud's phenomenon might develop in the client suffering from sarcoderma on exposure to cold.

2) "Swan neck and Boutonniere deformity of fingers are observed." needs futher teaching as it is a difficult term.

3) In Sjögren’s syndrome, Administration of ophthalmic solution , Administration of medications to stimulate salivary gland function should be included in care of client as this condition includes dry mouth and eye. No joints disorder is invloved and citrus fruits can increase irritation of dry mouth.

4) Epinephrine for toungue swelling and low blood pressure, Antihistamine for itching and Glucocorticoids for skin erythma are to be given to treat condition.

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