SOLVED1683

The nurse is caring for Robin Jones, a 37-year-old female during an outpatient clinic appointment. Robin reports joint pain and swelling for the past two months and is concerned about her health. During the assessment, the following data are obtained. Reports of extremity joint pain (6/10) and morning stiffness, especially in hands, for past two months. Reports tenderness when hand joints palpated and moved passively. Reports of episodic swelling of hands and feet that interferes with mobility. Reports difficulty with hand movement throughout day and states hands “look deformed.” No skin rashes or lesions noted. Concave curvature in thumbs and slight ulnar deviation of fingers noted bilaterally. Works in day care for preschoolers and states “job is stressful” due to staffing limitations and illnesses of children. Denies alcohol intake but states smoking 1.5 packs cigarettes every two days. Reports poor nutritional intake and lack of sleep.
SCIENCE
HEALTH SCIENCE
NURSING

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