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.
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Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Advising the client to avoid maintaining a healthy weight is incorrect.
Maintaining a healthy weight is important in reducing the risk of developing Rheumatoid Arthritis.
Excess weight can place additional stress on the joints, increasing the risk of joint damage.
Choice B rationale:
Recommending that the client engage in regular exercise and maintain a balanced diet is the correct answer.
Lifestyle modifications such as regular exercise and a balanced diet can help reduce the risk of developing Rheumatoid Arthritis.
Exercise helps maintain joint health and overall well-being, while a balanced diet can support overall immune function and reduce inflammation.
Choice C rationale:
Suggesting that the client increase exposure to environmental toxins and infections is not appropriate.
Environmental toxins and infections are not known risk factors for developing Rheumatoid Arthritis.
In fact, exposure to toxins and infections may exacerbate the condition in those who already have RA.
Choice D rationale:
Advising the client to ignore any chronic inflammatory conditions is not appropriate.
Chronic inflammatory conditions may be risk factors for developing RA, and they should be managed appropriately.
Identifying and addressing any chronic inflammatory conditions can contribute to overall health and potentially reduce the risk of RA.
Questions
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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