The nurse is working with clients who have connective tissue ...

[Garrulous]

The nurse is working with clients who have connective tissue diseases. Which disorders are correctly paired with their manifestations? (Select all that apply.)
 
  a. Dry, scaly skin rash - Systemic lupus erythematosus (SLE)
  b. Esophageal dysmotility - Systemic sclerosis
  c. Excess uric acid excretion - Gout
  d. Footdrop and paresthesias - Osteoarthritis
  e. Vasculitis causing organ damage - Rheumatoid arthritis

Question 2

An older client returning to the postoperative nursing unit after a hip replacement is disoriented and restless. What actions does the nurse delegate to the unlicensed assistive personnel (UAP)? (Select all that apply.)
 
  a. Apply an abduction pillow to the client's legs.
  b. Assess the skin under the abduction pillow straps.
  c. Place pillows under the heels to keep them off the bed.
  d. Monitor cognition to determine when the client can get up.
  e. Take and record vital signs per unit/facility policy.

[Madisongo23]

Answer to Question 1

ANS: A, B, E
A dry, scaly skin rash is the most frequent dermatologic manifestation of SLE. Systemic sclerosis can lead to esophageal motility problems. Vasculitis leads to organ damage in rheumatoid arthritis. Gout is caused by hyperuricemia; the production of uric acid exceeds the excretion capability of the kidneys. Footdrop and paresthesias occur in rheumatoid arthritis.

Answer to Question 2

ANS: A, C, E
The UAP can apply an abduction pillow, elevate the heels on a pillow, and take/record vital signs. Assessing skin is the nurse's responsibility, although if the UAP notices abnormalities, he or she should report them. Determining when the client is able to get out of bed is also a nursing responsibility.