A nurse is providing care for a patient who has a rheumatic disorder. The nurse's comprehensive assessment includes the patient's mood, behavior, LOC, and neurologic status. What is this patient's most likely diagnosis?
A) Osteoarthritis (OA)
B) Systemic lupus erythematosus (SLE)
C) Rheumatoid arthritis (RA)
D) Gout
Ans: B
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SLE has a high degree of neurologic involvement, and can result in central nervous system changes. The patient and family members are asked about any behavioral changes, including manifestations of neurosis or psychosis. Signs of depression are noted, as are reports of seizures, chorea, or other central nervous system manifestations. OA, RA, and gout lack this dimension.
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The nurse is caring for a patient who is having an exercise treadmill test. What interventions would be appropriate for the test? (Select all that apply.)
a. Remove all metal objects. b. Monitor vital signs throughout the test. c. Administer antianxiety medication as ordered. d. Monitor electrocardiogram before, during, and after the test. e. Ask the patient about allergies to dyes used in diagnostic procedures.