A client with rheumatoid arthritis reports experiencing joint deformities.
What nursing intervention is most appropriate for this client?
Encourage the client to avoid using affected joints as much as possible.
Teach the client self-administration of corticosteroid injections.
Provide emotional support and counseling to address body image concerns.
Instruct the client to apply ice packs to inflamed joints daily.
The Correct Answer is B
Choice A rationale:
Encouraging the client to avoid using affected joints as much as possible can lead to muscle atrophy and joint stiffness.
It is essential to promote movement and function in individuals with rheumatoid arthritis to prevent further complications.
Choice B rationale:
Teaching the client self-administration of corticosteroid injections can provide pain relief and reduce inflammation in affected joints.
This is a valuable intervention for managing rheumatoid arthritis symptoms.
Choice C rationale:
Providing emotional support and counseling to address body image concerns is essential for the overall well-being of the client.
However, it does not directly address joint deformities, which are the primary concern in this scenario.
Choice D rationale:
Instructing the client to apply ice packs to inflamed joints daily may provide temporary relief of symptoms but does not address joint deformities.
Ice should be used cautiously in RA, as extreme cold can worsen joint stiffness.
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 C
Explanation
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.
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