Question

A nurse is reinforcing teaching about joint protection with a client who has an acute exacerbation of rheumatoid arthritis. Which of the following information should the nurse include in the teaching?

a) Encourage frequent joint movement to prevent stiffness.
b) Apply heat to the affected joints for relief.
c) Use large, sweeping motions during joint activities.
d) Perform activities that cause minimal stress on the joints.

Answer 1

RA management should focus on performing low-stress activities, applying heat for relief, maintaining joint flexibility, and avoiding movements that exacerbate pain or stress on the joints.

Step-by-step explanation:

When teaching a client with an acute exacerbation of rheumatoid arthritis (RA) about joint protection, it is important to convey several key management strategies:

• Perform activities that cause minimal stress on the joints to prevent further damage and reduce inflammation.
• Exercise is beneficial to maintain joint flexibility and strengthen surrounding muscles, but it should be gentle and tailored to the patient's comfort level. Avoid frequent and forceful movements during acute flares to prevent joint stress.
• Apply heat to the affected joints for relief, as heat can help reduce joint stiffness and pain; however, this should be done carefully to avoid thermal injury.
• Use large, sweeping motions only if they do not cause pain or stress on the joints; otherwise, small, controlled movements should be preferred.

Overall, it's crucial for patients with RA to listen to their body and adjust their activities to minimize joint stress while still maintaining mobility.