Rheumatoid Arthritis Nursing Interventions Quiz
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Questions and Answers

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

  • To only decrease joint pain and swelling
  • To minimize the need for disability aids
  • To achieve complete elimination of joint deformity
  • To decrease joint pain and swelling, achieve clinical remission, decrease the likelihood of joint deformity, and minimize disability (correct)

    • What is the recommended initial treatment approach for early Rheumatoid Arthritis?

  • Use corticosteroids as the first-line treatment
  • Start with biologic DMARDs only
  • Delay treatment until the disease progresses
  • Begin with either a nonbiologic or biologic DMARD (correct)

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

  • Hydroxychloroquine
  • Leflunomide
  • Methotrexate (correct)
  • Sulfasalazine

    • What routine testing is recommended for patients using DMARD therapy?

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

    When should treatment with DMARD therapy begin for Rheumatoid Arthritis?

    <p>Within 3 months of disease onset</p> Signup and view all the answers

    What is the goal of using DMARD therapy in RA?

    <p>Preventing inflammation and joint damage</p> Signup and view all the answers

    What is a crucial aspect of treating rheumatoid arthritis (RA) according to the text?

    <p>Patient education on self-management and therapeutic regimen</p> Signup and view all the answers

    What should be addressed before initiating patient education for RA?

    <p>Pain, fatigue, and depressive symptoms</p> Signup and view all the answers

    What is considered safe and potentially beneficial for patients with RA?

    <p>Acupuncture</p> Signup and view all the answers

    What should be used sparingly and with caution to avoid skin irritation in patients with RA?

    <p>Topical analgesic agents</p> Signup and view all the answers

    When might referral for home care be necessary for patients with RA?

    <p>For older adults or frail patients with significant functional limitations</p> Signup and view all the answers

    What can home health nurses do for patients with RA?

    <p>Monitor skin integrity and provide preventive care</p> Signup and view all the answers

    Which type of drugs are engineered to target prominent proinflammatory mediators in RA, such as TNF-α, B cells, T cells, IL-1, and IL-6?

    <p>Biologic DMARDs</p> Signup and view all the answers

    Which type of drugs work more quickly than nonbiologic DMARDs and show greater delay in radiologic disease progression?

    <p>Biologic DMARDs</p> Signup and view all the answers

    What are corticosteroids recommended as in early treatment of RA?

    <p>Bridge</p> Signup and view all the answers

    What do NSAIDs and COX-2 enzyme blockers primarily provide relief for in RA?

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

    Why are opioid analgesic agents avoided in RA treatment?

    <p>Potential for continuing need for pain relief</p> Signup and view all the answers

    What is increasing in patients with RA and adversely affecting disease progression, function, and quality of life?

    <p>Obesity</p> Signup and view all the answers

    What should a dietician emphasize when counseling patients with rheumatoid arthritis?

    <p>Calcium and vitamin D for bone health</p> Signup and view all the answers

    What is a key nursing intervention for managing fatigue in patients with rheumatoid arthritis?

    <p>Promoting adherence to treatment</p> Signup and view all the answers

    What is encouraged to promote coping in patients with rheumatoid arthritis?

    <p>Verbalization of feelings about pain and chronicity</p> Signup and view all the answers

    What may improve mobility in patients with rheumatoid arthritis?

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

    What is a key aspect of nursing care for rheumatoid arthritis?

    <p>Addressing pain, sleep disturbance, fatigue, and limited mobility</p> Signup and view all the answers

    What may lead to a decrease in personal safety in patients with rheumatoid arthritis?

    <p>Environmental barriers</p> Signup and view all the answers

    What is a nursing intervention for patients with rheumatoid arthritis (RA) to achieve the goal of performing self-care activities independently?

    <p>Assisting the patient to identify self-care deficits and factors that interfere with self-care activities</p> Signup and view all the answers

    What is a nursing diagnosis for RA patients associated with physical and psychological changes and dependency imposed by chronic illness?

    <p>Disturbed body image</p> Signup and view all the answers

    What is a collaborative problem for RA patients related to the effects of medications?

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

    What is a common comorbid condition for RA patients that can lead to complications?

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

    What is essential in nursing care of RA patients to enable them to maintain independence and use adaptive devices correctly?

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

    What is a nursing intervention for RA patients to manage symptoms and enlist support for difficulty coping associated with actual or perceived lifestyle or role changes?

    <p>Developing a plan for managing symptoms and enlisting support</p> Signup and view all the answers

    What is a key nursing intervention for managing fatigue in patients with rheumatoid arthritis?

    <p>Encouraging regular exercise and rest periods</p> Signup and view all the answers

    What is a nursing intervention for RA patients to achieve the goal of performing self-care activities independently?

    <p>Assisting the patient to identify self-care deficits and factors that interfere with self-care activities</p> Signup and view all the answers

    What is a common comorbid condition for RA patients that can lead to complications?

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

    What is a collaborative problem for RA patients related to the effects of medications?

    <p>Complications secondary to effects of medications</p> Signup and view all the answers

    What may lead to a decrease in personal safety in patients with rheumatoid arthritis?

    <p>Disturbed body image associated with physical and psychological changes</p> Signup and view all the answers

    What is essential in nursing care of RA patients to enable them to maintain independence and use adaptive devices correctly?

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

    What is a nursing intervention for disturbed body image associated with physical and psychological changes in RA patients?

    <p>Assisting in identifying past coping mechanisms</p> Signup and view all the answers

    What is a common comorbid condition for RA patients that can lead to complications?

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

    What is the primary goal of nursing interventions for RA patients experiencing difficulty coping with lifestyle or role changes?

    <p>Identifying past and effective coping mechanisms</p> Signup and view all the answers

    What is a collaborative problem for RA patients related to the effects of medications?

    <p>Complications secondary to effects of medications</p> Signup and view all the answers

    What is an essential aspect of patient education in nursing care for RA patients?

    <p>Enabling patients to maintain independence and use adaptive devices correctly</p> Signup and view all the answers

    What is the goal of nursing interventions for RA patients with self-care deficits and factors that interfere with self-care activities?

    <p>Assisting the patient to identify self-care deficits and factors that interfere with self-care activities</p> Signup and view all the answers

    Study Notes

    Rheumatoid Arthritis Treatment Options and Considerations

    • Biologic DMARDs are engineered to target prominent proinflammatory mediators in RA, such as TNF-α, B cells, T cells, IL-1, and IL-6.
    • Biologic DMARDs work more quickly than nonbiologic DMARDs and show greater delay in radiologic disease progression.
    • They are more expensive and have fewer years of usage with the RA population, thus reserved for patients with persistent moderate to severe RA who have not responded adequately to synthetic DMARDs.
    • After initiating treatment with a DMARD, patients generally report a beneficial effect within 6 weeks and tolerate the medication relatively well.
    • Corticosteroids are recommended as a "bridge" in early treatment but not for long-term therapy due to side effects.
    • JAK inhibitors, a newer class of drugs, inhibit cytokine production and decrease the immune response, and are used in combination with methotrexate or other nonbiologic DMARDs.
    • NSAIDs and COX-2 enzyme blockers are used for pain and inflammation relief, with caution due to the possibility of gastric ulcers.
    • NSAIDs do not prevent erosions or alter disease progression and are useful only for symptom relief.
    • Opioid analgesic agents are avoided due to the potential for continuing need for pain relief.
    • Nonpharmacologic pain management techniques are taught, and a formal program with occupational and physical therapy is prescribed for patients with established RA.
    • The prevalence of obesity is increasing in patients with RA, adversely affecting disease progression, function, and quality of life.
    • Certain medications used in RA treatment, such as oral corticosteroids, stimulate the appetite and may lead to weight gain when combined with decreased activity.

    Nursing Interventions for Rheumatoid Arthritis Patients

    • Nursing interventions for patients with rheumatoid arthritis (RA) include allowing ample time for activity, providing rest periods, and reinforcing principles of pacing and work simplification.
    • The goal is for patients to perform self-care activities independently or with the use of resources.
    • Nursing interventions to achieve this goal include assisting the patient to identify self-care deficits and factors that interfere with self-care activities, providing appropriate assistive devices, and allowing the patient to control the timing of self-care activities.
    • Another nursing diagnosis for RA patients is disturbed body image associated with physical and psychological changes and dependency imposed by chronic illness.
    • Nursing interventions for this diagnosis involve identifying areas of life affected by the disease, assisting in identifying past coping mechanisms, and developing a plan for managing symptoms and enlisting support.
    • Difficulty coping associated with actual or perceived lifestyle or role changes is another nursing diagnosis for RA patients.
    • Nursing interventions for this diagnosis include identifying areas of life affected by the disease, assisting in identifying past and effective coping mechanisms, and developing a plan for managing symptoms and enlisting support.
    • Collaboration with healthcare agencies is important when individuals have attained a maximum level of self-care yet still have deficits, especially regarding safety.
    • Complications secondary to effects of medications are a collaborative problem for RA patients, and the goal is the absence or resolution of complications.
    • Nursing interventions for this problem involve performing periodic clinical assessment and laboratory evaluation, providing education about correct self-administration and potential side effects, counseling regarding methods to reduce side effects, and administering medications in modified doses as prescribed if complications occur.
    • RA patients commonly have comorbid conditions such as cardiovascular disease, which can lead to complications. Up to 40% of patients diagnosed with RA may have cardiovascular disease as the primary cause of death.
    • Patient education is essential in nursing care of RA patients to enable them 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 rheumatoid arthritis (RA) patients with this quiz. Explore topics such as self-care activities, coping mechanisms, collaboration with healthcare agencies, and managing complications of RA and comorbid conditions. This quiz will assess your understanding of providing holistic care for RA patients.

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