Question

Client Profile:

N.M is a 36-year-old overweight female who has Rheumatoid Arthritis (RA).  When her symptoms began to interfere with her daily activities she sought medical help.

Subjective Assessment Data:

• Complains of pain in the morning when waking up
• Has painful, stiff hands and feet
• Feels tired all of the time
• Reports low grade fever
• Takes naproxen (Aleve) 220mg twice daily
• Wears a copper bracelet on the advice of a neighbor

Objective Assessment Data:

• Hands show mild ulnar deformities and puffiness
• Temp: 100 degrees F
• Admitted to the hospital for examination and comprehensive treatment plan
• Medication:  Methotrexate (Rheumatrex) therapy to be initiated.

Discuss and answer the following questions.

1. What at least five (5) manifestations that suggests the diagnosis of RA?

2. How does the healthcare provider determine that the client has RA.  What diagnostic studies would the healthcare provider order to assist with the confirmation of the diagnosis of RA?

3. What results may be expected from methotrexate therapy?

4.What are the nursing responsibilities related to methotrexate therapy?

5. What are at least five (5) suggestions that may be offered to N.M. concerning home management and joint protection?

6. Based upon the assessment data presented, what are five (5) priority nursing diagnosis?

7. Identify at least two (2) healthcare professionals and their roles that the nurse would collaborate with?

Answer 1

nechoki areas, Monitor Intake output record a keep the patient well bychrefed . Aquise the patient to avoid exposure to infection & inform on presence of cough, extreme fatigue sore throat, chills at Report symptoms of thrombocytopenia ( echymasts betectice, epistaxis, melena, vaginal bleeding, Scanned with CamScanner?

. Manifestations for Rheumatoid Arthrites :- > pain in morning when walking up. - stiff hands & feet - Low grade fever! - mild uber deformeties un peffress : - firednes. 2. Argrossa shopies for Rot, Elis Erythrocyte sedimentation Role e Realne protein - Pheuresid factor - Ant. cyclic litrullinated peptide antibolets - X. Roots 3. Methotrexate therapy will show the progression of RA u Save the joints any other tissues from permanent damage 4. Nursing Responsibilities obtain baseline hiver a kidney tests; complete blood Torint, pletelet count & Chest & ren Repeat weekly Monitor blood glucose & HBA, C. Monitor for & report wheretine stomatitis with glossits & Ingivitis Inspect mouth daily for sleeding pately Scanned with CamScanner