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 ["B","D","E"]
Explanation
Choice A rationale:
Administering antibiotics regularly is not a standard intervention for managing Rheumatoid Arthritis.
RA is an autoimmune disease, and antibiotics are not typically used as a primary treatment.
Choice B rationale:
Encouraging regular exercise and physical therapy is an appropriate intervention.
Exercise can help improve joint function and reduce stiffness, while physical therapy can provide targeted rehabilitation exercises and techniques to manage RA symptoms.
Choice C rationale:
Advising the patient to avoid joint protection techniques is not appropriate.
Joint protection techniques are essential in managing RA and reducing the risk of joint damage.
Choice D rationale:
Providing emotional support and counseling is a valuable part of managing RA.
Living with a chronic condition can be emotionally challenging, and patients benefit from emotional support and coping strategies.
Choice E rationale:
Collaborating with the healthcare team to develop an individualized care plan is essential in managing RA effectively.
Each patient's condition is unique, and a personalized care plan ensures that their specific needs are addressed.
Correct Answer is A
Explanation
Choice A rationale:
Mentioning that Rheumatoid nodules may develop under the skin is correct.
Rheumatoid nodules are a known complication of Rheumatoid Arthritis.
These firm lumps can form under the skin, often around joints.
Choice B rationale:
Stating that there is no increased risk of infections due to medications is incorrect.
Some medications used to treat RA, such as corticosteroids or biologics, can suppress the immune system, increasing the risk of infections.
Patients should be educated about infection prevention and when to seek medical attention.
Choice C rationale:
Indicating that systemic complications cannot affect organs is incorrect.
Rheumatoid Arthritis is a systemic autoimmune disease, and it can affect various organs and systems in the body.
This may include inflammation of the lungs (interstitial lung disease), eyes (uveitis), or blood vessels (vasculitis).
Choice D rationale:
Mentioning that there is no increased risk of cardiovascular diseases is incorrect.
RA is associated with an increased risk of cardiovascular diseases such as heart attacks and strokes.
Chronic inflammation and other factors contribute to this elevated risk.
Patients with RA should be educated about cardiovascular risk factors and lifestyle modifications to mitigate these risks.
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