A client with Rheumatoid Arthritis asks the nurse for advice on protecting their joints.
What response by the nurse is appropriate?
"You should avoid using assistive devices to maintain independence.”
"You don't need to modify any activities; just continue as usual.”
"You should practice joint protection techniques and use assistive devices when necessary.”
"You should engage in vigorous exercise to strengthen your joints.”
The Correct Answer is C
Choice A rationale:
Advising the patient to avoid using assistive devices to maintain independence is incorrect.
Assistive devices can be helpful in reducing joint stress and preserving independence for individuals with RA.
Encouraging their use when necessary is part of joint protection strategies.
Choice B rationale:
Telling the patient that they don't need to modify any activities and continue as usual is not appropriate.
Patients with RA may need to make modifications to their daily activities to protect their joints and manage their condition effectively.
Encouraging appropriate modifications is essential.
Choice C rationale:
Recommending the patient practice joint protection techniques and use assistive devices when necessary is the correct answer.
Joint protection techniques, such as using proper body mechanics and avoiding activities that strain the joints, can help minimize further damage.
Assistive devices like splints or braces can also aid in joint protection.
Choice D rationale:
Suggesting the patient engage in vigorous exercise to strengthen their joints is not appropriate advice.
While exercise is beneficial, it should be tailored to the patient's specific needs and limitations.
Vigorous exercise without proper guidance can exacerbate joint inflammation in RA.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
This statement is incorrect.
RA does not occur when the immune system attacks the bones; it primarily affects the synovial joints.
Choice B rationale:
This statement is incorrect.
While inflammation is a hallmark of RA, it is not caused by a viral infection.
Choice C rationale:
This statement is correct.
Chronic inflammation in RA damages the synovial membrane, leading to joint destruction and deformities, which are characteristic of the disease.
Choice D rationale:
This statement is incorrect.
RA is not characterized by a thickening of the cartilage in the joints.
Instead, it primarily affects the synovium and can lead to cartilage damage over time.
Correct Answer is ["A","B","D"]
Explanation
Choice A rationale:
Administering analgesics for pain relief is an appropriate nursing intervention for managing RA.
Pain relief is an essential aspect of care for clients with RA to improve their quality of life and promote comfort.
Choice B rationale:
Teaching the client relaxation techniques is an appropriate nursing intervention.
Stress reduction can help manage RA symptoms, as stress can exacerbate inflammation and pain in RA patients.
Choice C rationale:
Encouraging smoking as a stress-relief method is not an appropriate nursing intervention.
Smoking is a known risk factor for RA and can worsen the condition.
It should be discouraged, especially in RA patients.
Choice D rationale:
Providing joint protection techniques is an important nursing intervention for managing RA.
Teaching clients how to protect their joints from further damage and manage activities of daily living can improve their overall functioning.
Choice E rationale:
Recommending high-impact aerobic exercise is not an appropriate nursing intervention for managing RA.
High-impact exercises can exacerbate joint pain and inflammation in RA patients.
Low-impact exercises, on the other hand, are often recommended.
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