A nurse is teaching a client who has rheumatoid arthritis about self-care strategies for managing the disease. Which of the following activities should the nurse include in the teaching?
Engage in repetitive tasks, even when joints are inflamed, to keep the joints mobile.
Press water from a sponge rather than wringing it.
Finish weekly household tasks within 1 or 2 days.
Turn doorknobs using a clockwise motion.
The Correct Answer is B
A. Engage in repetitive tasks, even when joints are inflamed, to keep the joints mobile is not recommended; rest and joint protection are important during inflammation.
B. Press water from a sponge rather than wringing it is a good strategy to avoid straining the joints.
C. Finish weekly household tasks within 1 or 2 days may lead to increased stress on the joints; tasks should be spread out to avoid exacerbating symptoms.
D. Turn doorknobs using a clockwise motion does not have specific benefits for managing rheumatoid arthritis; using adaptive devices is generally recommended.
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Related Questions
Correct Answer is C
Explanation
A. Instruct the client to avoid movement of the affected leg is not practical for postoperative care; the goal is to manage movement safely, not completely avoid it.
B. Position the lower extremities so that they are touching is incorrect; the legs should be kept in abduction to prevent dislocation.
C. Prevent hip flexion of the affected extremity is essential to prevent dislocation of the hip joint. Keeping the hip in a neutral or slightly extended position helps achieve this.
D. Ensure that the client's heels are touching the bed is not a relevant intervention for preventing complications after a hip arthroplasty.
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"D"},"E":{"answers":"D"},"F":{"answers":"A"}}
Explanation
"I will have to stop watching television while I eat." Understanding: Multitasking while eating can increase the risk of choking, so focusing on the meal is important.
"I won't be able to eat nuts anymore." Understanding: Nuts are not appropriate for a Level 3 dysphagia diet due to their texture, which can be a choking hazard.
"My food will have to be the consistency of pudding." Understanding: A Level 3 dysphagia diet involves foods with a pudding-like consistency to minimize choking risk.
"I can have cream soups on this diet." No Understanding: Cream soups are typically too thin for a Level 3 dysphagia diet, which requires thicker consistencies.
"I will look up at the ceiling when I swallow." No Understanding: The correct practice is to keep the head level or slightly tilted forward, not to look up at the ceiling.
"I shouldn't drink liquids while I have food in my mouth." Understanding: Drinking liquids while chewing food can increase the risk of aspiration or choking.
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