Question

** Please type response so I can read it** Thank you

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

Answer: Rheumatoid arthritis is a autoimmune disease in which the immune system starts to attack on the joints of the body. The manifestation that suggest the diagnosis of RA includes:

• Pain in joints, specially in the morning time.
• Fatigue
• Fever
• Weight loss
• Swelling in the joints.