Physiological Adaptation Q 70

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In an individual with Sjögren’s syndrome, nursing care should focus on:

  

     A. Moisture replacement.

     B. Electrolyte balance.

     C. Nutritional supplementation.

     D. Arrhythmia management.

    

    

Correct Answer: A. Moisture replacement.

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Sjogren’s syndrome is an autoimmune disorder leading to progressive loss of lubrication of the skin, GI tract, ears, nose, and vagina. Moisture replacement is the mainstay of therapy.

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Option B: Electrolyte balance is not the priority problem in Sjögren’s syndrome. Electrolyte abnormalities, particularly hypokalemia, must be considered in patients presenting with generalized weakness.

Option C: Though malnutrition may occur as a result of Sjogren’s syndrome effect on the GI tract, it isn’t the predominant problem. An estimated 90% of people with Sjogren’s syndrome have problems related to eating, enough to cause malnutrition.

Option D: Arrhythmias aren’t a problem associated with Sjogren’s syndrome. However, there is a new study that showed a significantly increased risk of heart attack in patients with Sjogren’s syndrome, particularly in the first year following diagnosis.

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