A client with Rheumatoid Arthritis (RA) asks the nurse about the pathophysiology of their condition.
Which statement by the client demonstrates an accurate understanding of RA's pathophysiology?
"RA occurs when the immune system attacks the bones.”
"The inflammation in RA is caused by a viral infection.”
"Chronic inflammation in RA damages the synovial membrane.”
"RA is characterized by a thickening of the cartilage in the joints.”
The Correct Answer is C
Choice A rationale:
This statement is incorrect.
RA does not occur when the immune system attacks the bones; it primarily affects the synovial joints.
Choice B rationale:
This statement is incorrect.
While inflammation is a hallmark of RA, it is not caused by a viral infection.
Choice C rationale:
This statement is correct.
Chronic inflammation in RA damages the synovial membrane, leading to joint destruction and deformities, which are characteristic of the disease.
Choice D rationale:
This statement is incorrect.
RA is not characterized by a thickening of the cartilage in the joints.
Instead, it primarily affects the synovium and can lead to cartilage damage over time.
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Related Questions
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.
Questions
Correct Answer is B
Explanation
Choice A rationale:
Surgery for joint replacement is considered in cases of severe joint damage, but it is not the primary treatment method for rheumatoid arthritis (RA).
Therefore, this is an incorrect choice.
Choice B rationale:
Rest and physical therapy are essential components of the treatment plan for RA.
Rest helps reduce joint inflammation, and physical therapy can improve joint function and reduce pain.
This is the correct choice.
Choice C rationale:
Antibiotics are not used to treat rheumatoid arthritis.
RA is an autoimmune disease, and disease-modifying antirheumatic drugs (DMARDs) are the standard medications used to manage it.
Choice D rationale:
Corticosteroids are used in the treatment of RA, but they are not typically considered the first-line therapy.
DMARDs are usually initiated first, and corticosteroids may be added if needed for symptom control.
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