Question

The nurse has provided instructions to a client with a diagnosis of rheumatoid arthritis about measures to protect the joints. Which statement by the client indicates a need for further instruction?

Option 1: "I should slide objects rather than lifting them."
Option 2: "I should try not to remain in the same position for a long period of time."
Option 3: "I should use large joints instead of small joints when performing activities."
Option 4: "Pain or fatigue is expected, and I should try to continue with the activity if this occurs."

Answer 1

The statement that indicates a need for further instruction for a client with rheumatoid arthritis is Option 4, which disregards the importance of heeding pain signals and suggests continuing activity despite pain or fatigue.

Step-by-step explanation:

Rheumatoid arthritis (RA) is a chronic inflammatory disorder that affects the synovial joints leading to pain, swelling, and potential deformity. While there is no cure for RA, various treatment strategies like medication and surgery are used to manage symptoms and slow disease progression. Self-management techniques also play an important role in coping with RA, including protecting joints from further damage.

Based on the information provided, Option 4: "Pain or fatigue is expected, and I should try to continue with the activity if this occurs," indicates a need for further instruction. It is important for clients with RA to respect pain and to avoid activities that could lead to joint damage or exacerbate their condition.