Which of the following instructions should be included in the teaching for the client with rheumatoid arthritis?

Alternate hot and cold packs to affected joints.

Take prescribed anti-inflammatory medications with meals.

Avoid exercise because it fatigues the joints.

Avoid weight-bearing activity.

Answer and Explanation

The Correct Answer is D

A.   While this can be helpful for managing pain and inflammation, it's not a universal recommendation and should be discussed with a healthcare provider.
B.   This is important to prevent stomach upset, a common side effect of many anti-inflammatory medications.
C.   Regular, low-impact exercise is crucial for maintaining joint function and reducing stiffness in people with rheumatoid arthritis.
D.   While weight-bearing activities might need to be modified or avoided during flare-ups, complete avoidance of weight-bearing activity can lead to muscle weakness and further joint problems.

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Correct Answer is C

Explanation

A. This finding is generally not associated with peritonitis. Instead, hyperactive bowel sounds may indicate early gastrointestinal irritation or obstruction. In the case of peritonitis, bowel sounds are often diminished or absent due to the inflammation and irritation of the peritoneum.
B. Profuse diarrhea is not a typical sign of peritonitis. While gastrointestinal disturbances can occur, diarrhea is more commonly associated with infections or irritations of the intestines rather than with peritonitis itself. Peritonitis typically presents with symptoms related to abdominal rigidity and pain.
C. A hard, rigid abdomen is a classic sign of peritonitis. It indicates involuntary guarding, which occurs as a response to inflammation and irritation of the peritoneum. The rigidity reflects the body's protective mechanism against pain and is a significant assessment finding.

D. While abdominal cramping can occur in various gastrointestinal conditions, it is not a specific indicator of peritonitis. In cases of peritonitis, the pain is often more severe and localized rather than cramping. The patient may experience sharp, steady pain that worsens with movement.

A. "Begin to taper the antibiotics after 3 days of administration" B. "Administer the antibiotics if the child has a fever" C. "Administer the antibiotics until they are gone." D. "Administer the antibiotics until the child feels better"

Correct Answer is C

Explanation

A. Antibiotics should not be tapered unless specifically directed by a healthcare provider. It is essential to complete the full course of antibiotics as prescribed, even if the child begins to feel better, to ensure the infection is fully treated.
B. Antibiotics should be administered as prescribed regardless of whether the child has a fever. Fever can be a sign of infection, but it is not the sole criterion for administering antibiotics.
C. Parents should complete the entire course of antibiotics as prescribed, even if the child appears to be improving. This helps to prevent the development of antibiotic-resistant bacteria and ensures that the infection is fully treated.
D. While it is common for parents to want to stop medications when their child feels better, it is crucial to complete the full course of antibiotics. Stopping early can lead to a recurrence of the infection and contribute to antibiotic resistance.

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Which of the following instructions should be included in the teaching for the client with rheumatoid arthritis?

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