The nurse on an inpatient rheumatology unit receives a hand-off ...

[Lobcity]

The nurse on an inpatient rheumatology unit receives a hand-off report on a client with an acute exacerbation of systemic lupus erythematosus (SLE). Which reported laboratory value requires the nurse to assess the client further?
 
  a. Creatinine: 3.9 mg/dL
  b. Platelet count: 210,000/mm3
  c. Red blood cell count: 5.2/mm3
  d. White blood cell count: 4400/mm3

Question 2

A client with rheumatoid arthritis (RA) has an acutely swollen, red, and painful joint. What nonpharmacologic treatment does the nurse apply?
 
  a. Heating pad
  b. Ice packs
  c. Splints
  d. Wax dip

[deja]

Answer to Question 1

ANS: A
Lupus nephritis is the leading cause of death in clients with SLE. The creatinine level is very high and the nurse needs to perform further assessments related to this finding. The other laboratory values are normal.

Answer to Question 2

ANS: B
Ice is best for acute inflammation. Heat often helps with joint stiffness. Splinting helps preserve joint function. A wax dip is used to provide warmth to the joint which is more appropriate for chronic pain and stiffness.