Podcast
Questions and Answers
Which of the following is the priority nursing intervention for a patient newly diagnosed with fibromyalgia?
Which of the following is the priority nursing intervention for a patient newly diagnosed with fibromyalgia?
- Educating the patient on symptom management and low-impact exercise. (correct)
- Encouraging high-impact exercises to improve muscle strength.
- Administering opioid analgesics for pain management.
- Recommending a high-caffeine diet to combat fatigue.
A patient with fibromyalgia reports difficulty concentrating and memory lapses. Which of the following interventions would be MOST appropriate?
A patient with fibromyalgia reports difficulty concentrating and memory lapses. Which of the following interventions would be MOST appropriate?
- Ordering an immediate MRI of the brain.
- Prescribing a stimulant medication.
- Administering a high dose of Vitamin B12.
- Recommending cognitive behavioral therapy (CBT) techniques. (correct)
A patient with SLE is prescribed hydroxychloroquine. What important instruction should the nurse give the patient?
A patient with SLE is prescribed hydroxychloroquine. What important instruction should the nurse give the patient?
- Schedule routine eye exams. (correct)
- Take the medication on an empty stomach to improve absorption.
- Monitor for photosensitivity and use sunscreen.
- Increase fluid intake to prevent kidney damage.
Which assessment finding would be MOST concerning in a patient with SLE?
Which assessment finding would be MOST concerning in a patient with SLE?
A patient with SLE is prescribed methotrexate. Which potential side effect should the nurse monitor for?
A patient with SLE is prescribed methotrexate. Which potential side effect should the nurse monitor for?
A patient with gout is prescribed allopurinol. What instruction regarding medication administration should be given?
A patient with gout is prescribed allopurinol. What instruction regarding medication administration should be given?
A patient with gout is experiencing an acute flare-up. Which medication is most appropriate for providing immediate relief?
A patient with gout is experiencing an acute flare-up. Which medication is most appropriate for providing immediate relief?
What dietary modifications should a nurse recommend to a patient diagnosed with gout to help manage their condition?
What dietary modifications should a nurse recommend to a patient diagnosed with gout to help manage their condition?
A patient with fibromyalgia is considering alternative therapies. Which of the following would be MOST appropriate to suggest?
A patient with fibromyalgia is considering alternative therapies. Which of the following would be MOST appropriate to suggest?
A 30-year-old female patient presents with a butterfly rash, joint pain, and fatigue. Which condition should the nurse suspect?
A 30-year-old female patient presents with a butterfly rash, joint pain, and fatigue. Which condition should the nurse suspect?
A patient with a history of SLE is admitted with pericarditis. Which nursing intervention is MOST important?
A patient with a history of SLE is admitted with pericarditis. Which nursing intervention is MOST important?
Why is monitoring uric acid levels important in patients diagnosed with Gout?
Why is monitoring uric acid levels important in patients diagnosed with Gout?
Which of the following assessment findings is MOST indicative of a gout flare?
Which of the following assessment findings is MOST indicative of a gout flare?
Which of the following lab results would the nurse expect to see in a patient with SLE experiencing a flare-up?
Which of the following lab results would the nurse expect to see in a patient with SLE experiencing a flare-up?
Which of the following activities would be MOST appropriate for a patient with fibromyalgia to improve their symptoms?
Which of the following activities would be MOST appropriate for a patient with fibromyalgia to improve their symptoms?
A patient with fibromyalgia is having trouble sleeping. Which of the following interventions would be MOST appropriate?
A patient with fibromyalgia is having trouble sleeping. Which of the following interventions would be MOST appropriate?
A patient with SLE reports increased fatigue and joint pain. Which of the following is the MOST appropriate initial nursing action?
A patient with SLE reports increased fatigue and joint pain. Which of the following is the MOST appropriate initial nursing action?
A patient with SLE is concerned about the impact of sunlight on their condition. What is the MOST important teaching point the nurse should provide?
A patient with SLE is concerned about the impact of sunlight on their condition. What is the MOST important teaching point the nurse should provide?
A patient with SLE is taking corticosteroids. What potential side effect should the nurse prioritize when teaching about medication management?
A patient with SLE is taking corticosteroids. What potential side effect should the nurse prioritize when teaching about medication management?
A patient with gout is prescribed colchicine for an acute flare-up. How should the nurse instruct the patient to take this medication?
A patient with gout is prescribed colchicine for an acute flare-up. How should the nurse instruct the patient to take this medication?
A patient with gout is starting allopurinol. What information should the nurse include in the patient's education about this medication?
A patient with gout is starting allopurinol. What information should the nurse include in the patient's education about this medication?
Which of the following dietary choices would be MOST appropriate for a patient trying to manage their gout?
Which of the following dietary choices would be MOST appropriate for a patient trying to manage their gout?
A patient with fibromyalgia asks about alternative therapies. Which of the following is the MOST important consideration when advising the patient?
A patient with fibromyalgia asks about alternative therapies. Which of the following is the MOST important consideration when advising the patient?
A patient presents with joint pain, fatigue, and a butterfly rash across their face. What initial laboratory test would the nurse anticipate the provider ordering to aid in diagnosis?
A patient presents with joint pain, fatigue, and a butterfly rash across their face. What initial laboratory test would the nurse anticipate the provider ordering to aid in diagnosis?
What is the PRIMARY goal of nursing interventions for a patient experiencing pericarditis secondary to SLE?
What is the PRIMARY goal of nursing interventions for a patient experiencing pericarditis secondary to SLE?
A patient with a history of gout is admitted with an acute exacerbation. What is the rationale for monitoring their fluid intake and output?
A patient with a history of gout is admitted with an acute exacerbation. What is the rationale for monitoring their fluid intake and output?
Which nursing intervention is MOST important when caring for a patient during an acute gout flare?
Which nursing intervention is MOST important when caring for a patient during an acute gout flare?
A patient with SLE is prescribed hydroxychloroquine. Why is regular eye examinations important for patients taking this medication?
A patient with SLE is prescribed hydroxychloroquine. Why is regular eye examinations important for patients taking this medication?
Which of the following findings indicates that a patient with gout may be developing chronic tophaceous gout?
Which of the following findings indicates that a patient with gout may be developing chronic tophaceous gout?
Flashcards
Fibromyalgia
Fibromyalgia
Widespread musculoskeletal pain with fatigue and tender points.
Central Pain Syndrome in Fibromyalgia
Central Pain Syndrome in Fibromyalgia
Abnormal central processing of pain signals in the CNS.
Recommended Exercises for Fibromyalgia
Recommended Exercises for Fibromyalgia
Yoga, tai chi, walking, swimming.
Dietary advice for Fibromyalgia
Dietary advice for Fibromyalgia
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Medications for Fibromyalgia
Medications for Fibromyalgia
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SLE (Systemic Lupus Erythematosus)
SLE (Systemic Lupus Erythematosus)
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SLE Signs/Symptoms
SLE Signs/Symptoms
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SLE Nursing Interventions
SLE Nursing Interventions
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Medications for SLE
Medications for SLE
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SLE Immunosuppressant Side Effects Risk
SLE Immunosuppressant Side Effects Risk
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Gout
Gout
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Tophi
Tophi
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Dietary Restrictions for Gout
Dietary Restrictions for Gout
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Medications for Gout
Medications for Gout
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Xanthine Oxidase Inhibitors
Xanthine Oxidase Inhibitors
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Study Notes
Fibromyalgia
- Chronic central pain syndrome involving abnormal central processing of nociceptive pain input in the CNS
- Symptoms include widespread, nonarticular musculoskeletal pain, fatigue, multiple tender points, burning pain that fluctuates, difficulty concentrating, and memory lapses
- Diagnosis is positive for 11 of 18 tender points on the widespread pain index, along with a history of widespread pain for 3+ months
- Management focuses on symptoms through regular low-impact exercise like yoga, tai chi, walking, and swimming
- Dietary recommendations include limiting alcohol, caffeine, and sugar
- Medications prescribed include pregabalin, duloxetine, and milnacipran for chronic widespread pain, as well as SSRIs
Systemic Lupus Erythematosus (SLE)
- Results from an atypical immune response that causes chronic inflammation and destruction of normal tissues
- Triggers can include toxins, viruses, and medications
- Skin manifestations include a butterfly rash over the cheeks
- Can be systemic, affecting the connective tissue of organs and potentially leading to organ failure
- Complications include lupus nephritis and pericarditis/myocarditis
- Symptoms include fatigue/malaise, alopecia, blurred vision, weight loss, joint pain, fever, anemia, lymphadenopathy, and pericarditis
- Diagnosis involves autoantibody testing with a positive ANA result
- CBC may show pancytopenia
- Other results may indicate organ dysfunction/failure
- Management involves pain management, monitoring vital signs, monitoring for systemic dysfunction, and nutritional support
- Nutritional interventions include small, frequent meals and limiting sodium intake
- Patient require avoidance of UV exposure and reporting edema or signs of infection
- Medications prescribed include NSAIDs, corticosteroids, immunosuppressants like methotrexate and azathioprine (with bone marrow suppression monitoring), and antimalarials like hydroxychloroquine (requiring routine eye exams)
Gout
- A form of arthritis related to elevated uric acid levels, which deposits in joints
- Can be caused by kidneys inability to excrete uric acid or overproduction of uric acid
- Symptoms include inflammation of affected joints, tophi (white nodules consisting of uric acid deposits), and episodes of readmission and flare-ups
- Diagnosis based on elevated uric acid levels (normal 2.7-8.5) and synovial fluid aspiration
- Dietary interventions: avoiding foods high in purines (seafoods like shrimp, red wine/alcohol, organ meats, sardines)
- Medications : oral colchicine and NSAIDs for inflammation and pain relief
- Xanthine oxidase inhibitors (allopurinol) decreases uric acid production
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Description
Overview of Fibromyalgia, a chronic pain syndrome, its symptoms, diagnosis, and management through exercise, diet, and medication. Also, a preview of Systemic Lupus Erythematosus (SLE), focusing on its causes, immune response, and skin manifestations.
