A client has rheumatoid arthritis that especially affects the hands. The client wants to finish quilting a baby blanket before the birth of her grandchild. What response by the nurse is best?
a. "Let's ask the provider about increasing your pain pills."
b. "Hold ice bags against your hands before quilting."
c. "Try a paraffin wax dip 20 minutes before you quilt."
d. "You need to stop quilting before it destroys your fingers."
ANS: C
Paraffin wax dips are beneficial for decreasing pain in arthritic hands and lead to increased mobility. The nurse can suggest this comfort measure. Increasing pain pills will not help with movement. Ice has limited use unless the client has a "hot" or exacerbated joint. The client wants to finish her project, so the nurse should not negate its importance by telling the client it is destroying her joints.
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