A clinic nurse examines a client with a tentative diagnosis of primary Sjögren's syndrome. Which finding observed by the nurse would most likely be associated with this syndrome?

Question

A clinic nurse examines a client with a tentative diagnosis of primary Sjögren's syndrome.  Which finding observed by the nurse would most likely be associated with this syndrome?

Quizplus · Accepted Answer

Sjögren's syndrome is an autoimmune condition. It causes inflammation of the exocrine glands (eg, lacrimal, salivary), resulting in decreased production of tears and saliva and leading to dry eyes (xerophthalmia) and dry mouth (xerostomia). Treatment with over-the-counter, preservative-free artificial tears can relieve eye dryness, burning, itching, irritation, pain, and a gritty sensation in the eyes. Wearing goggles can protect the eyes from outdoor wind and dust. Dry mouth is treated with artificial saliva. Using a room humidifier and not sitting in front of fans and air vents can also help (Option A). (Option B) Early-morning low back stiffness is seen with ankylosing spondylitis. (Option C) Multiple tender points are characteristic of fibromyalgia. (Option D) Thickening of the skin is seen with scleroderma. Educational objective: Sjögren's syndrome is an autoimmune condition that can cause dry eyes and mouth. Clients are instructed to use artificial tears and saliva.

A Clinic Nurse Examines a Client with a Tentative Diagnosis