A nurse is discussing preventive measures for Rheumatoid Arthritis (RA) with a group of clients.
Which recommendation should the nurse include in the discussion?

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.

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.