An older patient is surprised to learn of a diagnosis of rheumatoid arthritis. What should the nurse explain to the patient about this health problem? Standard Text: Select all that apply.
1. It leads to deformities of the hands.
2. It is caused by a vitamin D deficiency.
3. It is diagnosed by a positive pannus blood test.
4. It is characterized by low bone mass and compromised bone strength.
5. It causes systemic problems that can affect the heart, lungs, and kidneys.
Question 2
An older client is being screened for tuberculosis. The client questions why PPD testing is done twice. Which of the following is the most appropriate response by the nurse?
A) The treatment for TB is 6 months of medication, and we want to make sure the first PPD was done correctly prior to starting the medication.
B) Different medication is used in the second PPD.
C) The first PPD was not interpreted in the correct time frame of 48 to 72 hours.
D) The second PPD provides a more accurate reading because the older person's immune system may be sluggish and not adequately react to the first exposure.
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