NUR 205 Ch 54 Rheumatic Disorders

The most symptom of rheumatic disease that causes a patient to seek medical attention is?

Pain

In the inflammatory process in rheumatic disease a triggering event such as stress or trauma starts the process by activating?

T lymphocytes

A positive C reactive protein, positive antinuclear antibody (ANA), and a serum complement level of (C3) of >130mg/dL is indicative of this Rheumatic disorder?

Rheumatoid arthritis

The nurse knows that a patient who presents with the symptom of blanching of his fingers on exposure to cold would be assessed for rheumatic disease known as?

Raynaud's phenomenon

Synovial fluid from an inflamed joint looks like?

Milky, cloudy, and dark yellow

A patient is suspected of having myositis. What procedure will the nurse get the patient ready for?

Muscle biopsy

The RA reaction produces enzymes that breakdown ___________.

Collagen

In RA autoimmune reaction parimarily occures in the _______

Synovial tissue

In RA the cartilage is replaced with fibrous connective tissue during the stage of synovial joint destruction known as?

Pannus formation

A popular and effective COX 2 inhibitor that increase the patients risk of stroke is?

Celebrex

NASID's used in rheumatic disease include_________,________,and ___________.

Clinoril, Motrin, Celebrex

Gold containing compounds act by inhibiting _______ and ________ cell activity.

T and B

When a person with arthritis is temporarily confined to bed the position recommended to prevent flexion deformities is?

slight dorsiflexion

A characteristic cutaneous lesion call the butterfly rash appears across the bridge of the nose in 50% of patients with this disorder?

Systemic lupus erythematosus

The singel most important medication used for the treatment of systemic lupus erythematosus is?

corticosteroids

Clinical manifestations of scleroderma include these three things what are they?

1. Decreased ventilation owing to lung scarring.

2. dysphagia owning to hardening of the esophagus.

3. Dyspnea owning to fibrotic tissue.

The most common type of disabling connective tissue disease in the US is?

degenerative joint disease

Pathophysioligic changes seen in osteoarthritis include?

1. Joint cartilage degeneration

2. The formation of bony spurs

3. narrowing of the joint space.

With a diagnosis of gout a nurse would expect to find?

hyperuricemia

A purine restricted diet is prescribed for a patient what foods should be recommend?

Dairy products

A decrease can be seen in chronic inflammation.

Hematocrit

A positive test is associated with SLE, RA, and Raynaud's disease.

Antinuclear antibody (ANA)