A nurse is educating a group of patients with rheumatoid arthritis about self-management strategies.
Select all appropriate interventions for managing R
Apply heat to affected joints.
Engage in high-impact aerobic exercises.
Take disease-modifying antirheumatic drugs (DMARDs) as prescribed.
Limit physical activity to prevent joint damage.
Perform regular joint-strengthening exercises.
Correct Answer : A,C,E
Choice A rationale:
Applying heat to affected joints can help alleviate pain and stiffness in rheumatoid arthritis.
Heat therapy promotes muscle relaxation and increased blood flow to the joints, improving comfort.
Choice B rationale:
Engaging in high-impact aerobic exercises can be detrimental to individuals with rheumatoid arthritis.
High-impact activities can exacerbate joint pain and inflammation.
Therefore, this is not an appropriate intervention.
Choice C rationale:
Taking disease-modifying antirheumatic drugs (DMARDs) as prescribed is a crucial part of managing rheumatoid arthritis.
These medications can slow disease progression and reduce symptoms.
Choice D rationale:
Limiting physical activity to prevent joint damage is not recommended for individuals with rheumatoid arthritis.
While it's essential to avoid overexertion and high-impact activities, maintaining regular, low-impact exercise is beneficial for joint health.
Choice E rationale:
Performing regular joint-strengthening exercises can help improve joint stability and reduce pain in rheumatoid arthritis.
Strengthening exercises can be an essential part of a comprehensive self-management strategy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
This statement is incorrect.
RA does not occur when the immune system attacks the bones; it primarily affects the synovial joints.
Choice B rationale:
This statement is incorrect.
While inflammation is a hallmark of RA, it is not caused by a viral infection.
Choice C rationale:
This statement is correct.
Chronic inflammation in RA damages the synovial membrane, leading to joint destruction and deformities, which are characteristic of the disease.
Choice D rationale:
This statement is incorrect.
RA is not characterized by a thickening of the cartilage in the joints.
Instead, it primarily affects the synovium and can lead to cartilage damage over time.
Correct Answer is B
Explanation
Choice A rationale:
Teaching the patient that they don't need to take medications if they feel fine is incorrect.
Rheumatoid Arthritis (RA) is a chronic autoimmune disease that requires continuous management.
Even when patients feel fine, they should adhere to their prescribed medications and treatment regimens to prevent disease progression and manage symptoms.
Choice B rationale:
Encouraging the patient to adhere to prescribed medications and treatment regimens is the correct answer.
The nurse's role in educating a patient with RA is to emphasize the importance of compliance with medication and treatment plans.
RA is a progressive disease, and timely intervention is crucial in preventing joint damage and deformities.
Medications such as disease-modifying antirheumatic drugs (DMARDs) can help control inflammation and slow down the progression of the disease.
Choice C rationale:
Advising the patient to avoid exercise to prevent joint stress is incorrect.
Exercise is an essential component of RA management.
It helps maintain joint mobility, strengthen muscles around the joints, and improve overall function.
The nurse should encourage the patient to engage in appropriate and recommended exercises as part of their treatment plan.
Choice D rationale:
Recommending the patient rely solely on emotional support to cope with the disease is incorrect.
While emotional support is valuable in managing chronic conditions like RA, it is not a substitute for medical treatment and adherence to prescribed medications.
Patients should have a comprehensive treatment plan that includes medical management, physical therapy, and emotional support.
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