A nurse has completed a health assessment physical examination and interview at a local health clinic. Which of the following assessment data would support the client's diagnosis of reactive arthritis? Select all that apply
1. Client reports having "food poisoning" 12 days ago.
2. Urination results in a painful sensation.
3. Conjunctiva of right eye is reddened, with a thin watery drainage.
4. Serum creatinine increasing from 0.9 to 1.1 mg/dl.
5. Serum potassium 3.5 mM.
1. Client reports having "food poisoning" 12 days ago.
2. Urination results in a painful sensation.
3. Conjunctiva of right eye is reddened, with a thin watery drainage.
4. Serum creatinine increasing from 0.9 to 1.1 mg/dl.
Rationale: Client reports having "food poisoning" 12 days ago. Assessment data supporting a diagnosis of reactive arthritis would include gastrointestinal bacterial infection occurring 1 to 3 weeks prior to the outbreak of symptoms. Urination results in a painful sensation. Assessment data supporting a diagnosis of reactive arthritis would include symptoms associated with urethritis. Conjunctiva of right eye is reddened, with a thin watery drainage. Assessment data supporting a diagnosis of reactive arthritis would include symptoms associated with these eye conditions. Serum creatinine increasing from 0.9 to 1.1 mg/dl. Diagnostic lab testing would reveal an increasing serum creatinine level. Serum potassium 3.5 mM. Diagnostic lab testing would reveal a serum potassium level that is elevated (> 5.0 mM).
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