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.  Email completed discussion/answers to your faculty member:

1. How should the nurse explain the pathophysiology of joint Rheumatoid Arthritis to N.M.?

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

3. 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?

4. What results may be expected from methotrexate therapy?

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

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

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

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

Answer 1

Answer: The pathophysiology involves in the rheumatoid arthritis as it is a autoimmune disease which is chronic. The mechanism involved as the immune system of the body starts to attack on joints which causes inflammation of the joints. This inflammation further results in to thickening of the capsule present in the joints. On progression it affects the bone as well as cartilage.