A client is in the clinic with complaints of joint pain and swelling that have lasted for about 2 months
The nurse plans interventions based on a nursing diagnosis of Impaired Home Maintenance based on which of the following client statements? 1. "I find it difficult to move early in the morning.".
1. "My joints are stiffest at night.".
1. "I take ibuprofen for the pain.".
1. "I seem to get very tired early in the day.".
4. "I seem to get very tired early in the day.".
Rationale:
One hallmark of RA is extreme fatigue, and the nurse would plan to teach the client about frequent rest periods during the day to conserve energy. The client with RA will be stiff early in the morning, but that would not interfere with activities later in the day. Joints of the RA client are stiffest in the morning. Taking ibuprofen for pain does not affect the ability for home maintenance.
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