Rheumatoid Arthritis, its pathophysiology, and its signs and symptoms. 2. Discuss the pharmacologic and nonpharmacologic interventions for Rheumatoid Arthritis.
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B. RELATED QUESTIONS:
1. Discuss Rheumatoid Arthritis, its pathophysiology, and its signs and symptoms.
2. Discuss the pharmacologic and nonpharmacologic interventions for Rheumatoid Arthritis.
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- SubjectiveChief Complaint: “I have pain in all of my joints, a swollen left knee, and stiffness every morning.” HPI: Janet Hobbs is a 58-year-old woman who presents to her rheumatologist with generalized arthralgias, a swollen left knee, and morning stiffness. These symptoms have been occurring with increasing severity for the past several weeks. She presented with similar symptoms 3 months ago, at which time her drug regimen was changed from methotrexate and NSAID therapy to her current regimen below. PMH: RA × 6 years S/P, hysterectomy 4 years ago, HTN × 10 years FH: Father died from complications after a traumatic fall at age 65. Mother died of a hip fracture and pneumonia at age 78. No siblings. SH: Housewife; married for 32 years; has two grown children with no known medical problems. Denies alcohol or tobacco use. Volunteers in the community extensively, but has been doing less in the past 2 months. Meds: Hydrochlorothiazide 25 mg PO Q AM, Norvasc 10 mg PO once daily, Nabumetone…What statement by the client with plantar fasciitis indicates a need for further teaching? “I will rest and stretch my feet.” “I will wear supportive shoes.” 3 .” I will use warm packs on my feet.” 4 “I will use nonsteroidal anti-inflammatory drugs (NSAIDs) for comfort.”1. Female, 40 years old. The left index finger was accidentally stabbed by a shoe repair needle. In the past 3 days, the pain gradually increased, swelling, throbbing pain, and she was unable to sleep. The current primary treatment measures are ( ) Use analgesics Incision and drainage Antibiotics Elevate the affected limb Rest 2. Female, 65 years old, with a history of hepatitis B for more than 20 years. Sudden of hematemesis this morning, the color was bright red, the amount was about 1500ml, and she came to our hospital for emergency. Physical examination: pale appearance, cold limbs, BP 78/50mmHg, P 112 beats/min. Abdominal distension, shifting dullness (+), 5 cm below the spleen rib. The inappropriate treatment for this patient is: Compression of three cavities and two balloon tubes Intravenous somatostatin Emergency laparotomy for hemostasis Blood transfusion Interventional treatment with fiber gastroscope
- Please explain the answers. A 32-year-old woman visits her physician with complaints of feeling tired and stiff for the past 2 weeks. She reports that she recently returned from a 2-month-long solo hiking trip and thought the signs and symptoms resulted from her trip. However, within the past few days, she has developed pain in her joints, tendons, bones, and muscles. 1. The physician questions the patient about signs of symptoms that may have appeared during her hiking trip. The patient mentions that at one point, she had a round rash on her side, but it went away. She does not recall being bitten by a tick, but she cannot rule out this possibility. What is a possible diagnostic consideration? A. Syphilis B. Lyme disease C. Fatigue from her trip 2. The physician wants to order confirmation tests for Lyme disease for this patient. What should be considered before testing is ordered? A. Determine whether the tick was attached to the patient for at least 24 hours. B. Ensure that a…Pt who was at home treating her right foot infection with VNA support. VNA recommended she return to the hospital because she was not caring for herself. The pt has not been able to get up and walk around including going to the bath. She complains of discomfort with swallowing and so she is not consistently taking her medication. She denies chest pain and shortness of breath. She is dysphagia, stage 2 plantar heel ulcer and at her butt. Has bruises on both hands, both legs is discolor and peeling. High fall risk and wear diapers. Pain is 7 on a scale of 0-10 at her coccyx wound. Normal bowl sounds and lungs sounds and heart sound. Cellulitis of right lower extremities. Cardiac diet and hypertension. Base on this information please do the concept map in the imagePt who was at home treating her right foot infection with VNA support. VNA recommended she return to the hospital because she was not caring for herself. The pt has not been able to get up and walk around including going to the bath. She complains of discomfort with swallowing and so she is not consistently taking her medication. She denies chest pain and shortness of breath. She is dysphagia, stage 2 plantar heel ulcer and at her butt. Has bruises on both hands, both legs is discolor and peeling. High fall risk and wear diapers. Pain is 7 on a scale of 0-10 at her coccyx wound. Normal bowl sounds and lungs sounds and heart sound. Cellulitis of right lower extremities. Cardiac diet and hypertension. Vitals at 800: Vitals at 11:20Am: Pulse: 99 HR: 72 SPO2: 99. BP: 144/97 BP: 135/82. R: 17 Temp: 95:4 HR:70 R: 16 Base on the information above can you please do a intervention for each body system. Neurological, Musculoskeletal, cardiovascular, respiratory, integumentary, GI, GU Patient…
- -Patient age: 55, sex: female.-Onset: 5 years ago -No history of o history of hypertension, photosensitivity, DM and CAD,-Chief complaint at hospital: edema on both lower limbs. Joints pain accompanied by intermittent feverno residual joint deformity. Question: What is Pathophysiology and Etiology?PLEASE ANSWER ASAP write diagnostic statement for each ques (only 1-2 sentences each) 1. A hypertensive client states that she hasn't been taking her medication because it doesn't make her feel any better . Also, she says she has difficulty remembering to take it. 2. An elderly patient with left side paralysis has a red, broken area in the skin over his coccyx. The patient cannot turn himself in bed. 3. The client is 45 pounds overweight . He states that he is in a high stress job and doesn't have time to cook regular meals - he tends to eat fast food and snacks a lot . His job is sedentary , and he does not engage in any type of physical exercise or sport . Fo fun, he likes to " eat at a nice restaurant "37) Female,51 years old,has swelling and pain in both wrist joints for 3 months. The 3rd and 4th interphalangeal joints of both hands are swollen and painful, second metacarpophalangeal joint of both hands is swollen and painful for 2 months, morning stiffness for 2 hours, and low fever. Her most likely diagnosis is? A Systemic lupus erythematosus B Rheumatoid Arthritis C Osteoarthritis D Gout E Spondyloarthropathy
- Case study of a child suffering from pneumonia 4 years old in detail c. Any assistant device used e.g. catheter d. Activity – exercise pattern: a. Developmental screening of the child: 1. Gross motor: 2. Fine motor: b. Self-care abilities or activities: Independent Needs assistance Dependent Activity Feeding Bathing Dressing Toileting | Mobility 3tein X Case Studies.docx X + rl=https://wheatland.orbundsis.com/einstein-freshair/Videos/0216D9403D0ED43358766A676D8A4817/Case+Stuc TCentral | NBA... a Amazon.com: Onlin... (6) The Reason Why... Isaiah Blames Zora... Beyond The Lights... Case Study, Chapter 26, The Digestive System Mr. McArthur is hospitalized with pancreatitis and cholecystitis. Neither his gallbladdernor his pancreas are functioning normally at this time. The client is placed on a NPO (nothing by mouth) diet order, given intravenous fluids and pain medication. The nurse is aware that the pancreas has two functions: one being endocrine, secretion of hormones to assist with glucose control and the other being exocrine, aiding the digestive system. Mr. McArthur is scheduled for gallbladder removal in the morning to treat the cholecystitis. (Learning Objective 4) 1. The client asks what his gallbladder does. What is the nurse's best response? 2. The client also asks how the pancreas works to help with digestion. What…Prepare a chat showing the symptoms and treatment of the following diseases Rheumatic fever. State the nursing considerations related to Rheumatic fever.