The nurse is caring for a client with systemic sclerosis (SSc). ...

[mia]

The nurse is caring for a client with systemic sclerosis (SSc). What comfort measures can the nurse delegate to the unlicensed assistive personnel (UAP)? (Select all that apply.)
 
  a. Collaborate with a registered dietitian for appropriate foods.
  b. Inspect the skin and note any areas of ulceration.
  c. Keep the room at a comfortably warm temperature.
  d. Place a foot cradle at the end of the bed to lift sheets.
  e. Remind the client to elevate the head of the bed after eating.

Question 2

A nurse works with several clients who have gout. Which types of gout and their drug treatments are correctly matched? (Select all that apply.)
 
  a. Allopurinol (Zyloprim) - Acute gout
  b. Colchicine (Colcrys) - Acute gout
  c. Febuxostat (Uloric) - Chronic gout
  d. Indomethacin (Indocin) - Acute gout
  e. Probenecid (Benemid) - Chronic gout

[vkodali]

Answer to Question 1

ANS: C, D, E
The client with SSc should avoid cold temperatures, which may lead to vasospasms and Raynaud's phenomenon. The UAP can adjust the room temperature for the client's comfort. Keeping the sheets off the feet will help prevent injury; the UAP can apply a foot cradle to the bed to hold the sheets up. Because of esophageal problems, the client should remain in an upright position for 1 to 2 hours after meals. The UAP can remind the client of this once he or she has been taught. The other actions are performed by the registered nurse.

Answer to Question 2

ANS: B, C, D, E
Acute gout can be treated with colchicine and indomethacin. Chronic gout can be treated with febuxostat and probenecid. Allopurinol is used for chronic gout.

[mia]

Thank you

[vkodali]

Happy to help you