A patient with rheumatoid arthritis tells the nurse that the physician told him he has Felty syndrome and asks the nurse what it means. Which of the following conditions does the nurse include in her description of this syndrome?
A) Low grade fever, weight loss, anorexia
B) Vasculitis, pericarditis, pneumonitis
C) Enlarged spleen, neutropenia, anemia
D) Symmetric polyarticular joint swelling, joint redness, joint tenderness
C) Enlarged spleen, neutropenia, anemia
Explanation: A) Low grade fever, weight loss, and anorexia occur with rheumatoid arthritis, but they are not part of Felty syndrome.
B) Vasculitis, pericarditis, and pneumonitis occur with rheumatoid arthritis, but they are not part of Felty syndrome.
C) Felty syndrome is a hematologic complication of long-standing rheumatoid arthritis that consists of splenomegaly, neutropenia, and anemia.
D) Symmetric polyarticular joint swelling, joint redness, and joint tenderness occur with rheumatoid arthritis, but they are not part of Felty syndrome.
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