A nurse is assessing a client with Rheumatoid Arthritis (RA).
Select all the appropriate nursing interventions for managing RA.
Administering analgesics for pain relief.
Teaching the client relaxation techniques.
Encouraging smoking as a stress-relief method.
Providing joint protection techniques.
Recommending high-impact aerobic exercise.
Correct Answer : A,B,D
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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Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Monitoring blood pressure and heart rate is essential for overall health assessment, but it is not specific to rheumatoid arthritis.
Joint deformities and signs of inflammation are more directly related to RA complications.
Choice B rationale:
Gastrointestinal symptoms can occur in some individuals with rheumatoid arthritis, especially if they are taking certain medications like nonsteroidal anti-inflammatory drugs (NSAIDs).
However, joint deformities and inflammation are more critical to monitor for potential complications.
Choice C rationale:
Neurological function is not typically a primary concern in rheumatoid arthritis.
Joint involvement and inflammation are more common complications that require monitoring.
Choice D rationale:
Joint deformities and signs of inflammation are crucial aspects of the assessment in rheumatoid arthritis.
These complications can lead to significant disability and decreased quality of life in individuals with RA.
Monitoring and early intervention are essential.
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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