the client with ra complains of intensely dry eyes what does the nurse suspect

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. The client with RA complains of intensely dry eyes. What does the nurse suspect?

A. Systemic sclerosis
B. Sjogren's syndrome
C. Chron's disease
D. Discoid lupus

Correct answer: B

Rationale:

2. What nursing intervention is appropriate for a client with systemic lupus erythematous (SLE)?

A. Intense cold therapy to the extremities
B. Encourage ultraviolet (UV) light exposure
C. Administer topical hydrocortisone
D. Administer antibiotics

Correct answer: C

Rationale:

3. Which organization publishes the National Patient Safety Goals?

A. The Joint Commission
B. Medicare
C. The American Nurses Association
D. The Institute of Medicine

Correct answer: A

Rationale:

4. What is the priority nursing diagnosis for a client with immobility?

A. Constipation related to immobility
B. Ineffective breathing pattern related to inability to breathe deeply in a supine position
C. Risk for impaired skin integrity as evidenced by pressure over bony prominences
D. Risk for disuse syndrome as evidenced by immobility

Correct answer: C

Rationale: The correct priority nursing diagnosis for a client with immobility is 'Risk for impaired skin integrity as evidenced by pressure over bony prominences.' Immobility predisposes the client to the development of pressure ulcers due to prolonged pressure on bony areas. Monitoring and preventing impaired skin integrity is crucial to prevent complications. Choices A, B, and D are not the priority in this case. Constipation, ineffective breathing pattern, and disuse syndrome are important but secondary to the immediate risk of skin breakdown associated with immobility.