A nurse is providing care for a patient who has a recent diagnosis of giant cell arteritis (GCA). What aspect of physical assessment should the nurse prioritize?
A) Assessment for subtle signs of bleeding disorders
B) Assessment of the metatarsal joints and phalangeal joints
C) Assessment for thoracic pain that is exacerbated by activity
D) Assessment for headaches and jaw pain
Ans: D
Feedback:
Assessment of the patient with GCA focuses on musculoskeletal tenderness, weakness, and decreased function. Careful attention should be directed toward assessing the head (for changes in vision, headaches, and jaw claudication). There is not a particular clinical focus on the potential for bleeding, hand and foot pain, or thoracic pain.
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