Exhibits
The nurse is preparing the client's plan of care. A major component of the clients at home care is pain management.
Select the 3 most important interventions the nurse can educate the client with rheumatoid arthritis (RA) about to help with pain management.
Consult a dietitian to support nutrition and weight loss.
Perform fine motor activities for the client to decrease pain.
Avoid movement, as it will increase pain.
Eat a diet high in refined carbohydrates.
Apply ice packs to inflamed joints.
Facilitate paraffin wax dips to help soothe joints.
Correct Answer : A,E,F
A. Consult a dietitian to support nutrition and weight loss: Excess weight puts added stress on joints, particularly weight-bearing joints. A dietitian can help create a balanced, anti-inflammatory diet and assist with weight loss to reduce strain on the joints and control inflammation.
B. Perform fine motor activities for the client to decrease pain: Fine motor activities may increase joint strain and discomfort in RA patients, particularly if done in excess or without adequate rest. Focus should be on rest and controlled activity.
C. Avoid movement, as it will increase pain: Complete immobilization of joints can lead to stiffness and further deterioration. While rest is important during flare-ups, gentle movement and exercises, such as range-of-motion exercises, are essential to prevent joint stiffness and preserve function.
D. Eat a diet high in refined carbohydrates: A diet high in refined carbohydrates is not beneficial for RA patients. Refined carbohydrates can increase inflammation and contribute to weight gain, which may worsen the symptoms of RA. A well-balanced, anti-inflammatory diet is recommended instead.
E. Apply ice packs to inflamed joints: Applying ice packs to inflamed joints can reduce swelling and provide relief from acute pain and inflammation. Cold therapy can help to numb the area, providing short-term relief and decreasing inflammation in affected joints for pain management in RA.
F. Facilitate paraffin wax dips to help soothe joints: Paraffin wax dips used to relieve pain and stiffness in joints affected by rheumatoid arthritis. The warm wax helps to relax muscles, increase blood flow, and reduce stiffness in the hands and wrists, providing comfort and improving joint mobility.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Avoid forcing apart the teeth: Placing objects in the client’s mouth or trying to pry open the teeth can cause injury. It is important to let the seizure pass without interfering with the jaw or mouth.
B. Loosen clothing around the neck: Loosening tight clothing reduces the risk of airway obstruction or restricted breathing during a seizure. This is a correct and helpful intervention.
C. Position the head from injury: Protecting the client’s head with a soft object prevents trauma during convulsions. This is a recommended and safe practice during seizures.
D. Secure the limbs to the body: Restraining or holding down limbs can cause musculoskeletal injuries and increase agitation. Seizure safety protocols emphasize allowing movement without physical restraint.
Correct Answer is B
Explanation
A. Report any increase in the white blood cell count: While monitoring for signs of infection is important, an increase in WBC count alone does not address the risk of MRSA recurrence in the wound. Early intervention with infection control measures is more important.
B. Change the surgical dressing readily when soiled: A soiled dressing acts as a wick, pulling moisture and bacteria toward the incision. In a postoperative client with a history of MRSA, any drainage or moisture trapped against the skin provides a medium for the staphylococcus bacteria to multiply and invade the surgical site. Changing the dressing readily when soiled ensures that the wound environment remains unfavorable for bacterial growth, directly reducing the risk of a localized recurrence or surgical site infection (SSI).
C. Instruct the family to adhere to contact precautions: Instructing the family on contact precautions is essential for preventing the spread of MRSA to others (the nurse, other patients, or the family members themselves), but it does not directly reduce the risk of the client's own MRSA recurring in their new surgical wound.
D. Wear a face mask while performing wound care: Wearing a face mask is not necessary for preventing MRSA transmission in the wound care setting. Contact precautions, including proper hand hygiene and wearing gloves, are more effective for MRSA prevention.
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