Osteoarthritis (OA)
FIB: OA is characterized by inflammation of ___ and progressive loss of loss of ___
synovial fluid, cartilage
FIB: With RA, cartilage may become ___ and ___ due to inflammation, and may lead to the development of a ___
fibrous, calcified, pannus
FIB: Gout is characterized by an imbalance in ___ (hint: metabolic disorder)
purine metabolism
FIB: SLE is a chronic, progressive ___ disorder that affects ___, causing major body organs and systems to fail
inflammatory, connective tissue
A pt arrives ℅ morning stiffness that usually goes away with movement. The nurse recognizes this as a s/s of...
Osteoarthritis
Since OA is a “wear and tear” disease, the symptoms are usually ___ (hint: think sides)
unilateral (NOT systemic)
List two characteristics of an RA exacerbation (Answers may vary)
low grade fever, anorexia, joint pain and swelling, motor weakness
Gout most commonly occurs in this body part
great toe
FIB: Most pts with SLE have some degree of ___ involvement.
kidney (autoimmune complexes get stuck in the glomeruli)
A pt arrives ℅ joint stiffness and swelling, along with fatigue and generalized weakness. The nurse recognizes this as s/s of…
Rheumatoid Arthritis
This is the highest priority for tx for a pt with OA
pain relief
Since RA is a connective tissue disorder, these systemic s/s may appear ( answers may vary)
pleuritis, vasculitis, (swollen glands, dry mouth, anemia, decreased WBCs)
T/F: An elevated level of uric acid confirms a dx of gouty arthritis
FALSE (elevated level does NOT mean gout is the cause)
Aside from the iconic butterfly rash, these are other s/s of SLE (answers may vary)
photosensitivity, inflammatory (nonerosive) arthritis, neurologic, hematologic, or immunity problems
A pt arrives ℅ of excruciating pain in the joints along their fingers, along with significant swelling and inflammation. The nurse recognizes this as s/s of…
Gout
These type of joint deformities may be present on a pt with OA
Heberden's nodes, Bouchard’s nodes
These deformities are late manifestations of RA
ulnar deviation, swan neck deviation
This is needed for a dx of gouty arthritis
elevated uric acid + s/s of arthritis
List one potential complication from SLE (answers may vary)
persistent pain, fatigue, loss of tissue integrity, organ failure, decreased self esteem
A pt with an autoimmune disease receives lab work. Labs reveal an increase in ESR and ANA, and a positive rheumatoid factor. The nurse recognizes this as an indication of… =
Rheumatoid Arthritis
These are some interventions a nurse can provide for a pt with OA (Answers may vary)
warm/cold compress, non-weight bearing activities, weight loss, fall prevention
These are systemic complications of RA (Answers may vary)
weight loss, fever, extreme fatigue
This is the most important pt teaching for a pt with gout
reduce alcohol consumption
T/F: SLE has no cure, and therefore no treatment
FALSE (symptomatic treatment, reduce complications)
A pt with an autoimmune disease receives lab work. Labs reveal an increase in ESR, serum complement C3, and C4, and ANA. The nurse recognizes this as an indication of…
Systemic Lupus Erythematosus (SLE)