Nursing Care for Rheumatoid Arthritis

Medication Management

Question 1

• C. Methotrexate is often prescribed due to its DMARD properties, which slow disease progression.
• Acetaminophen, Ibuprofen (NSAID), and steroids (e.g., Prednisone) are less effective in altering disease course.

Patient Education and Self-Management

Question 2

• Incorrect understanding: "I should keep my joints in the same position to reduce pain"
• Proper management includes:
  • Gentle exercises to maintain muscle strength
  • Heat and cold therapy for pain relief
  • Adherence to medication regimens

Diagnostic Testing

Question 3

• D. All of the above: Complete Blood Count (CBC), Rheumatoid Factor (RF), and Erythrocyte Sedimentation Rate (ESR) are all useful in diagnosing RA.

Monitoring Medication Side Effects

Question 4

• C. Osteoporosis: A side effect of long-term corticosteroid use.
• Other monitored side effects include weight gain and hypertension, not weight loss or hypotension.

Care Planning for Fatigue

Question 5

• D. Occupational therapy consultation: Key for energy-conserving strategies.
• Scheduling morning activities or high-intensity exercises may not be practical due to patient symptoms.

Nursing Interventions for Daily Tasks

Question 6

• B. Use adaptive devices: Helps maintain independence and reduce joint strain.
• Limiting physical activity or increasing NSAID dosage without guidance can be harmful.

Understanding of RA Management

Question 7

• C. Follow balanced diet and keep appointments: Essential for ongoing management and treatment adjustment.

Managing Flare-Ups

Question 8

• B. Apply cold packs: Effective for reducing inflammation and pain during flare-ups.
• Avoid vigorous joint exercises and other strenuous physical activities.

Importance of Smoking Cessation

Question 9

• D. All of the above: Smoking worsens RA symptoms, decreases medication effectiveness, and increases infection risk.

Dietary Recommendations

Question 10

• C. Anti-inflammatory diet: Rich in omega-3 fatty acids (e.g., fish, nuts) is beneficial for RA.

Associated Conditions

Question 11

• A. Sjogren syndrome: Characterized by dry eyes and mouth, often co-occurs with RA.

Use of Herbal Supplements

Question 12

• B. Discuss with healthcare provider: Ensures no adverse interactions with prescribed medications.

Adaptive Devices for Daily Tasks

Question 13

• B. Use adaptive devices: E.g., jar openers to assist with limited hand function.

Prioritizing Teaching Topics

Question 14

• B. Modify activities to reduce joint stress: Important for managing RA and promoting independence.

Managing Infection Risks

Question 15

• B. Practice good hygiene and stay up-to-date with vaccinations: Essential for patients under immunosuppressive therapy.

Reporting Symptoms

Question 16

• B. Yellowing of the skin or eyes: Sign of potential liver damage from RA medications.

Monitoring NSAID Side Effects

Question 17

• A. Hypertension: NSAIDs can cause fluid retention and increased blood pressure.

Biologic Therapy Monitoring

Question 18

• B. Signs of infection: Due to the immunosuppressive nature of biologic agents.

Lifestyle Modifications

Question 19

• B. Increase calcium and vitamin D intake: Helps counteract osteoporosis risk.

Primary Goal of RA Treatment

Question 20

• B. Manage symptoms and prevent joint damage: No cure exists, so treatment focuses on quality of life improvement.

Addressing Depression

Question 21

• C. Referral to a mental health professional: Important for managing depression in chronic RA patients.

Joint Protection Strategies

Question 22

• C. Carry heavy objects close to the body with both hands: Reduces strain on joints.

Monitoring Biologic Agent Side Effects

Question 23

• B. Skin rash or lesions: Potential serious side effects should be reported immediately.

Dietary Recommendations at Health Fair

Question 24

• B. Incorporate fatty fish: Omega-3 fatty acids in fish help reduce inflammation.

Exercise Recommendations

Question 25

• B. Avoid exercise during swollen, painful periods: Incorrect. Gentle exercises can aid in maintaining joint function even during flare-ups.