The nurse teaching a support group of women with rheumatoid arthritis (RA) about how to manage activities of daily living suggests that they

a. stand rather than sit when performing household and yard chores.
b. strengthen small hand muscles by wringing sponges or washcloths.
c. protect the knee joints by sleeping with a small pillow under the knees.
d. avoid activities that require repetitive use of the same muscles and joints.


ANS: D
Patients are advised to avoid repetitious movements. Sitting during household chores is recommended to decrease stress on joints. Wringing water out of sponges would increase the joint stress. Patients are encouraged to position joints in the extended position, and sleeping with a pillow behind the knees would decrease the ability of the knee to extend and also decrease knee range of motion (ROM).

Nursing

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