NURS 111 Rheumatoid Arthritis with Joint Arthroplasty: Terry Barnes, a 35-year-old mother. Complete Solution

Rheumatoid Arthritis with Joint Arthroplasty Instructions Meet the Client: Terry Barnes Terry Barnes, a 35-year-old mother of three young children, visits the healthcare clinic. She reports experiencing increasing bilateral joint pain, especially in her hands, wrists, and knees. She also reports increasing fatigue and a weight loss of 5 pounds over the last 2 months. She states she has been taking a couple of aspirins a day, but the joint pain is increasing, and she is hesitant to take more medication without a medical evaluation. She appears tense and anxious, and states that she is upset because it is becoming increasingly more difficult to do all the little things necessary to care for her three children. She states, "I'm too young to have arthritis. That's something you get when you're old." Terry's initial medical diagnosis is rheumatoid arthritis, and she is scheduled for diagnostic evaluation. Diagnostic Evaluation Terry is scheduled for a CBC (complete blood count), RF (rheumatoid factor), ESR (erythrocyte sedimentation rate), joint x-rays, and a bone scan. Additional diagnostic tests, which may be performed to help diagnose rheumatoid arthritis, include MRI and synovial fluid analysis, or synovial biopsy