The client has arthritis and has just learned that she is pregnant. What is the best instruction by the nurse?
1. Avoid using heat on the joint.
2. Hydroxychloroquine (Plaquenil) is the best medication for you.
3. You could try splinting for discomfort.
4. Glucocorticoids are considered safe during pregnancy.
3
Rationale 1: Heat will relieve arthritic pain.
Rationale 2: Hydroxychloroquine (Plaquenil) is a Pregnancy Category C drug and should be avoided.
Rationale 3: Splinting is an appropriate nonpharmacologic method for arthritic pain during pregnancy.
Rationale 4: Glucocorticoids are Pregnancy Category C drugs and should be avoided.
Global Rationale: Heat and splinting are appropriate nonpharmacologic methods for arthritic pain during pregnancy. Hydroxychloroquine (Plaquenil) is a Pregnancy Category C drug and should be avoided. Glucocorticoids are Pregnancy Category C drugs and should be avoided.
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