A client with Rheumatoid Arthritis asks the nurse about the potential complications of the disease.
What complications should the nurse include in the response?
"Rheumatoid nodules may develop under the skin.”
"There is no increased risk of infections due to medications.”
"Systemic complications cannot affect organs.”
"There is no increased risk of cardiovascular diseases.”
The Correct Answer is A
Choice A rationale:
Mentioning that Rheumatoid nodules may develop under the skin is correct.
Rheumatoid nodules are a known complication of Rheumatoid Arthritis.
These firm lumps can form under the skin, often around joints.
Choice B rationale:
Stating that there is no increased risk of infections due to medications is incorrect.
Some medications used to treat RA, such as corticosteroids or biologics, can suppress the immune system, increasing the risk of infections.
Patients should be educated about infection prevention and when to seek medical attention.
Choice C rationale:
Indicating that systemic complications cannot affect organs is incorrect.
Rheumatoid Arthritis is a systemic autoimmune disease, and it can affect various organs and systems in the body.
This may include inflammation of the lungs (interstitial lung disease), eyes (uveitis), or blood vessels (vasculitis).
Choice D rationale:
Mentioning that there is no increased risk of cardiovascular diseases is incorrect.
RA is associated with an increased risk of cardiovascular diseases such as heart attacks and strokes.
Chronic inflammation and other factors contribute to this elevated risk.
Patients with RA should be educated about cardiovascular risk factors and lifestyle modifications to mitigate these risks.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
This statement is incorrect.
Avoiding all physical activity is not recommended for RA prevention.
In fact, regular and appropriate physical activity can help maintain joint function and reduce the risk of developing RA.
Choice B rationale:
This statement is correct.
Maintaining a healthy weight is a recommendation for reducing the risk of RA.
Obesity is a known risk factor for the development of RA.
Choice C rationale:
This statement is incorrect.
Smoking has been associated with an increased risk of RA, so it is not advisable to suggest that smoking has no impact on RA prevention.
Choice D rationale:
This statement is incorrect.
Genetics alone do not determine the prevention of RA.
While genetics may play a role in susceptibility, lifestyle factors and environmental exposures also contribute to the risk of developing the disease.
Correct Answer is D
Explanation
Choice A rationale:
Monitoring blood pressure and heart rate is essential for overall health assessment, but it is not specific to rheumatoid arthritis.
Joint deformities and signs of inflammation are more directly related to RA complications.
Choice B rationale:
Gastrointestinal symptoms can occur in some individuals with rheumatoid arthritis, especially if they are taking certain medications like nonsteroidal anti-inflammatory drugs (NSAIDs).
However, joint deformities and inflammation are more critical to monitor for potential complications.
Choice C rationale:
Neurological function is not typically a primary concern in rheumatoid arthritis.
Joint involvement and inflammation are more common complications that require monitoring.
Choice D rationale:
Joint deformities and signs of inflammation are crucial aspects of the assessment in rheumatoid arthritis.
These complications can lead to significant disability and decreased quality of life in individuals with RA.
Monitoring and early intervention are essential.
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