A patient with a history of rheumatoid arthritis reports mobility impairment as a result of hip and knee joint stiffness

Question

Which intervention should the nurse include in an education session to address this problem? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Encouraging frequent periods of rest for the affected hip and knee joints
2. Educating the patient's family to perform passive range-of-motion exercises of the affected joints
3. Instructing the patient in the proper technique for active range of motion of the affected joints
4. Discussing the use of relaxation techniques when affected joints are most painful
5. Suggesting the application of ice to the affected joints to minimize pain

Answer 1

1,2,3
Rationale 1: It is necessary to rest when the disease process flares up.
Rationale 2: Passive range-of-motion exercises will help maintain maximum joint mobility.
Rationale 3: Active range-of-motion exercises will help maintain maximum joint mobility.
Rationale 4: Relaxation techniques are directed toward pain management, not joint mobility.
Rationale 5: The application of heat is more appropriate because it will facilitate movement of the joints while also impacting the inflammatory process.