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.”.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
Choice A rationale:
Swollen joints. Swelling is a common symptom of RA due to inflammation in the joints.
Choice B rationale:
Fatigue and loss of appetite. These are systemic symptoms that can occur with RA123.
Choice C rationale:
Low-grade fever. This can occur in RA due to the body’s immune response.
Choice D rationale:
Knuckle deformity. Over time, RA can cause deformities in the joints, including the knuckles.
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.
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