Given what we know about rheumatoid arthritis, we can confirm that the nurse can determine that the teaching is effective when the client makes the statement that "<em>Rheumatoid arthri</em><em>tis includes </em><em>joint involvement </em><em>that is usually </em><em>symmetric </em><em>and </em><em>polyarticular</em>".
Arthritis is one of many diseases in the autoimmune category. An autoimmune disease is one in which the immune system of the patient attacks its own cells. <em><u>The reasons behind this remain unknown</u></em>. In the case of Rheumatoid arthritis, the attacks remain isolated to the joints. The immune system causes the joints to be unable to produce synovial liquid, which causes inflamation.
As stated by the patient, Rheumatoid arthritis includes joint involvement that is usually symmetric and polyarticular. What this means is that any diarthrodial joint can be affected by the condition and is usually collateral, meaning that <u>if the left hand is affected, the right hand often is as well.</u>
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Answer:
Being over weight, particularly being obese, increases the amount of cholesterol in your bile, which increases your risk of developing gallstones. You should control your weight by eating a healthy diet and taking plenty of regular exercise. But you should avoid low-calorie, rapid weight loss diet.
The client is at risk of developing surgical site infection post the right below-knee amputation (BKA) as a result of poorly managed diabetes mellitus.
Diabetes is a type of disease that leads to a rise in blood glucose levels. Amputation in the lower extremity of the body is extremely common in an individual with unregulated diabetes. This is because diabetes may result in diabetic neuropathy or peripheral arterial disease (PAD). Narrowing of the arteries in the PAD causes the development of ulcers and infections in the lower limbs, which ultimately causes amputation. Diabetes mellitus reduces the wound healing power and therefore delays the surgical site to recovery. This makes the client prone to surgical site infections.
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Respiratory depression
Respiratory depression is a complication of epidural anesthesia and should be closely monitored in laboring clients. A failed block, accidental intrathecal block, and a postdural headache are all side effects of a spinal epidural block
<h3>What is Epidural anesthesia ?</h3>
Epidural anesthesia is often used during labor and delivery, and surgery in the pelvis and legs. Epidural and spinal anesthesia are often used when:
- The procedure or labor is too painful without any pain medicine. The procedure is in the belly, legs, or feet
- If you choose to have an epidural, a physician anesthesiologist will insert a needle and a tiny tube, called a catheter, in the lower part of your back.
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