The nurse is preparing discharge teaching for a client who has been recently diagnosed with Rheumatoid arthritis.

Which of the statements made by the client would indicate the need for further teaching?.

"When carrying an object I will hold it close to my body.”.

"I will pick up objects with my arms or leg muscles.”.

"I will carry my laundry basket with the tip of my fingers.”.

"I will bend at the knees when picking up an item from the floor.”.

Answer and Explanation

The Correct Answer is C

Choice A rationale:
Holding an object close to the body can help distribute the weight evenly and reduce strain on the joints, which is beneficial for someone with Rheumatoid arthritis.
Choice B rationale:
Using larger muscle groups like the arms and legs can help reduce the strain on smaller, more sensitive joints.
Choice C rationale:
Carrying a laundry basket with the tips of the fingers can put unnecessary strain on the finger joints, which can exacerbate symptoms of Rheumatoid arthritis.
Choice D rationale:
Bending at the knees, rather than the waist, can help protect the back and maintain balance when picking up an item from the floor.

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Correct Answer is D

Explanation

Choice A rationale:
Sleeping too many hours can indeed cause fatigue. However, this is not the most likely cause in this case as the patient has fibromyalgia, which is often associated with sleep disturbances.
Choice B rationale:
While a new mattress might improve sleep quality, there’s no information suggesting that the patient’s mattress is a problem.
Choice C rationale:
Using electronics at bedtime can interfere with sleep, but again, there’s no information suggesting that this is the case here.
Choice D rationale:
Fibromyalgia is often associated with sleep disturbances such as insomnia. This is the most likely cause of the patient’s fatigue.
Choice E rationale:
Worrying can indeed cause fatigue, but there’s no information suggesting that the patient has been worried about anything in particular.

A. "Ibuprofen is the first step in medication therapy for osteoarthritis.”. B. "You should restrict all physical activity to prevent further injury.”. C. "Pregnancy has no impact on OA if you keep your weight gain within the recommended limits.”. D. "Your pain from the OA may increase due to the weight gain of pregnancy.”.

Correct Answer is D

Explanation

Choice A rationale:
Ibuprofen is not the first step in medication therapy for OA. It can be used for pain relief but is not recommended during pregnancy.
Choice B rationale:
Restricting all physical activity is not recommended. Moderate exercise can help maintain joint flexibility and strength.
Choice C rationale:
Pregnancy can impact OA due to weight gain and hormonal changes. However, keeping weight gain within recommended limits can help manage symptoms.
Choice D rationale:
Pain from OA may increase due to pregnancy weight gain. This is an important point to include in teaching.

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The nurse is preparing discharge teaching for a client who has been recently diagnosed with Rheumatoid arthritis. Which of the statements made by the client would indicate the need for further teaching?.

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

The nurse is preparing discharge teaching for a pregnant client who has been recently diagnosed with Osteoarthritis. Which of the following is most important to include in the patient teaching?.

Correct Answer is D

Explanation

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The nurse is preparing discharge teaching for a client who has been recently diagnosed with Rheumatoid arthritis.

Which of the statements made by the client would indicate the need for further teaching?.