Nursing Interventions for Rheumatoid Arthritis Quiz
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Questions and Answers

What is the goal of treatment at all phases of the RA disease process?

  • To minimize disability and prevent joint deformity
  • To decrease joint pain and swelling, achieve clinical remission, decrease the likelihood of joint deformity, and minimize disability (correct)
  • To solely decrease joint pain and swelling
  • To only achieve clinical remission

    • What is the recommended timeframe for beginning DMARD therapy after the diagnosis of RA is made?

  • After 1 year of disease onset
  • After 2 years of disease onset
  • Within 6 months of disease onset
  • Within 3 months of disease onset (correct)

    • Which medication is the preferred nonbiologic DMARD for the treatment of RA?

  • Leflunomide
  • Hydroxychloroquine
  • Sulfasalazine
  • Methotrexate (correct)

    • What type of testing should be performed when using DMARD therapy for RA?

    <p>Routine blood testing for liver and kidney function, along with monitoring the CBC for anemia</p> Signup and view all the answers

    What is a significant factor contributing to the increase in BMI within the first year of RA diagnosis?

    <p>Steroid use</p> Signup and view all the answers

    What can a dietician counsel RA patients on?

    <p>Better food choices including the five major food groups</p> Signup and view all the answers

    What is advised for overweight or obese RA patients?

    <p>A healthy, calorie-restricted diet</p> Signup and view all the answers

    What are some nursing care aspects for RA patients?

    <p>Pain, sleep disturbance, fatigue, altered mood, and limited mobility</p> Signup and view all the answers

    What do patients with newly diagnosed RA need information about?

    <p>The disease for daily self-management and coping</p> Signup and view all the answers

    What may be helpful for RA patients in terms of appropriate food choices?

    <p>Consultation with a dietician</p> Signup and view all the answers

    What are some nursing interventions for pain management for RA patients?

    <p>Comfort measures, medication administration, and individualized schedules</p> Signup and view all the answers

    What are some nursing interventions for fatigue in RA patients?

    <p>Education, sleep routine development, energy conservation techniques, and adherence to treatment program</p> Signup and view all the answers

    What are some nursing interventions for impaired mobility in RA patients?

    <p>Verbalization of limitations, assessment for therapy consultation, and encouragement of independence</p> Signup and view all the answers

    What may improve mobility in RA patients?

    <p>Therapeutic exercises, proper footwear, and assistive equipment</p> Signup and view all the answers

    What may enhance mobility in RA patients?

    <p>Furniture and architectural adaptations</p> Signup and view all the answers

    What may lead to a decrease in personal safety due to changes in mobility in RA patients?

    <p>Changes in mobility</p> Signup and view all the answers

    What do biologic DMARDs target in the treatment of Rheumatoid Arthritis (RA)?

    <p>TNF-α, B cells, T cells, IL-1, and IL-6</p> Signup and view all the answers

    When are biologic DMARDs typically reserved for RA patients?

    <p>Persistent moderate to severe RA with no response to synthetic DMARDs</p> Signup and view all the answers

    What do JAK inhibitors inhibit in the treatment of RA?

    <p>Cytokine production and immune response</p> Signup and view all the answers

    Why must NSAIDs, particularly COX-2 enzyme blockers, be used cautiously in RA patients?

    <p>Due to gastric ulcers and cardiovascular risks</p> Signup and view all the answers

    What is the primary function of NSAIDs in the treatment of RA?

    <p>Pain relief</p> Signup and view all the answers

    What should be avoided in the management of RA-related pain?

    <p>Opioid analgesics</p> Signup and view all the answers

    What are occupational and physical therapy programs prescribed for in established RA patients?

    <p>Educating about pacing activities and muscle-strengthening exercises</p> Signup and view all the answers

    When is reconstructive surgery used in the treatment of established RA?

    <p>With established RA</p> Signup and view all the answers

    What is the role of systemic corticosteroids in the treatment of RA?

    <p>Used as a 'bridge' medication</p> Signup and view all the answers

    What are topical analgesic agents such as capsaicin and diclofenac sodium gel often prescribed for in RA patients?

    <p>Joint pain</p> Signup and view all the answers

    What may patients with RA require short-term use of?

    <p>Low-dose antidepressants</p> Signup and view all the answers

    What is the approximate prevalence of obesity at RA diagnosis?

    <p>20%</p> Signup and view all the answers

    What is one aspect of patient education for rheumatoid arthritis?

    <p>Self-management of the disorder</p> Signup and view all the answers

    What is a specific concern for young women with rheumatoid arthritis?

    <p>Childbearing potential</p> Signup and view all the answers

    What is a recommended approach to addressing pain, fatigue, and depressive symptoms in rheumatoid arthritis patients?

    <p>Address before initiating patient education</p> Signup and view all the answers

    What is a potential benefit of acupuncture for rheumatoid arthritis?

    <p>Safe and beneficial</p> Signup and view all the answers

    When might referral for home care be necessary for rheumatoid arthritis patients?

    <p>Older adults, frail patients, or those with significant functional limitations</p> Signup and view all the answers

    What can home care allow for in rheumatoid arthritis patients?

    <p>Assessment of the home environment, monitoring of treatment adherence, and identification of barriers</p> Signup and view all the answers

    What aspect of education is included for rheumatoid arthritis patients?

    <p>Disease management, lifestyle adaptations, and types of exercise</p> Signup and view all the answers

    What are patients taught about regarding prescribed medications for rheumatoid arthritis?

    <p>Dosage, side effects, self-administration, and monitoring</p> Signup and view all the answers

    What can home health nurses closely monitor in rheumatoid arthritis patients?

    <p>Skin status, provide preventive skin care, and supervise home health aides</p> Signup and view all the answers

    What is a focus of education for surgery patients with rheumatoid arthritis?

    <p>Maintaining independence, function, and safety at home</p> Signup and view all the answers

    What is encouraged for patients and families in the context of rheumatoid arthritis?

    <p>Verbalize concerns and ask questions</p> Signup and view all the answers

    What is included in patient education for rheumatoid arthritis related to topical analgesic agents?

    <p>Their application, and potential side effects</p> Signup and view all the answers

    What is an essential nursing intervention for patients with rheumatoid arthritis?

    <p>Allowing ample time for activity and providing rest periods after activity</p> Signup and view all the answers

    What may enhance self-care abilities for patients with rheumatoid arthritis?

    <p>Assistive devices</p> Signup and view all the answers

    What is crucial for enabling the patient to maintain independence and use adaptive devices correctly?

    <p>Patient education</p> Signup and view all the answers

    What is a common comorbid condition in patients with rheumatoid arthritis?

    <p>Cardiovascular disease</p> Signup and view all the answers

    What percentage of patients diagnosed with rheumatoid arthritis may die from cardiovascular disease?

    <p>Up to 40%</p> Signup and view all the answers

    What should nurses perform to monitor for side effects of medications used for treating rheumatoid arthritis?

    <p>Periodic clinical assessment and laboratory evaluation</p> Signup and view all the answers

    What may relieve potential anxiety and distress in patients with rheumatoid arthritis?

    <p>Nurse's counseling regarding symptom management</p> Signup and view all the answers

    What is essential for maintaining independence and taking medications accurately for patients with rheumatoid arthritis?

    <p>Patient education</p> Signup and view all the answers

    What may cause serious and adverse effects in patients with rheumatoid arthritis?

    <p>Medications used for treating rheumatoid arthritis</p> Signup and view all the answers

    What is initiated for patients with self-care deficits?

    <p>Referral to community health agency</p> Signup and view all the answers

    What is essential in developing an effective plan for managing symptoms in patients with rheumatoid arthritis?

    <p>Patient's input</p> Signup and view all the answers

    What may patients with rheumatoid arthritis experience affecting body image and coping mechanisms?

    <p>Physical and psychological changes</p> Signup and view all the answers

    Study Notes

    Nursing Interventions for Patients with Rheumatoid Arthritis

    • Nursing interventions include allowing ample time for activity and providing rest periods after activity
    • Referral to community health agency is initiated for patients with self-care deficits
    • Assistive devices may enhance self-care abilities
    • Patient's input is essential in developing an effective plan for managing symptoms
    • Patient education is essential for maintaining independence, taking medications accurately, and using adaptive devices correctly
    • Patients with rheumatoid arthritis may experience physical and psychological changes affecting body image and coping mechanisms
    • Cardiovascular disease is a common comorbid condition in patients with rheumatoid arthritis
    • Up to 40% of patients diagnosed with rheumatoid arthritis may die from cardiovascular disease
    • Medications used for treating rheumatoid arthritis may cause serious and adverse effects
    • Nurses perform periodic clinical assessment and laboratory evaluation to monitor for side effects of medications
    • Nurse's counseling regarding symptom management may relieve potential anxiety and distress in patients
    • Patient education is crucial for enabling the patient to maintain independence, take medications accurately and safely, and use adaptive devices correctly

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    Description

    Test your knowledge of nursing interventions for patients with rheumatoid arthritis with this quiz. Explore topics like patient education, medication management, cardiovascular disease, and the role of nurses in symptom management and counseling.

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