The client has arthritis and has just learned that she is pregnant. What is the best instruction by the nurse?
1. An ice bath to the affected joint will help with discomfort.
2. Hydroxychloroquine (Plaquenil) is the best medication for you.
3. You could try heat applications and splinting for discomfort.
4. Glucocorticoids are considered safe during pregnancy.
Correct Answer: 3
Rationale 1: Heat will relieve arthritic pain much more effectively than ice.
Rationale 2: Hydroxychloroquine (Plaquenil) is a Pregnancy Category C drug, and should be avoided.
Rationale 3: Heat and splinting are appropriate nonpharmacological methods for arthritic pain during pregnancy.
Rationale 4: Glucocorticoids are Pregnancy Category C drugs, and should be avoided.
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