A client with rheumatoid arthritis has infiltration of the lacrimal and salivary glands with lymphocytes as a result of the disease. What does the nurse understand that this clinical manifestation is?
A) Sicca syndrome
B) Episcleritis
C) Glaucoma
D) Cataracts
A
Feedback:
Sicca syndrome is a condition of dry eyes and dry mouth that can result from infiltration of the lacrimal and salivary glands with lymphocytes. Episcleritis is an inflammatory condition of the connective tissue between the sclera and conjunctiva. Glaucoma results from increased intraocular pressure, and cataracts are a clouding of the lens in the eye.
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An 82-year-old man is admitted to a medical-surgical unit for diagnostic confirmation and management of probable delirium. Which of the following statements by the client's daughter best supports the diagnosis?
1. "Dad has always been so independent. He's lived alone for years since my mom died." 2. "Dad just didn't seem to know what he was doing. He would forget what he had for breakfast." 3. "Maybe it's just caused by aging. This usually happens by age 82." 4. "The changes in his behavior came on so quickly. I wasn't sure what was happening."
A client is complaining of severe pain in the left great toe. What lab studies that the nurse reviews indicate that the client may have gout?
A) Elevated white blood count B) Elevated uric acid levels C) Decreased hemoglobin and hematocrit D) Increased AST and ALT
Which arthropod bite can contain cytotoxic and hemolytic toxins that may destroy tissue?
a. Tick b. Brown recluse spider c. Wasp d. Stinging caterpillar
The nurse is concerned that the hand with an arterial line in the wrist is becoming ischemic. What did the nurse assess in this patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Delayed capillary refill 2. Pale skin color of the wrist and hand 3. Reduced pulses in the brachial artery 4. Hand cold to touch 5. Blood pressure discrepancy of 15 mm Hg