A client with rheumatoid arthritis (RA) asks the nurse if all clients with RA end up with crippling deformities. Which of the following actions by a client may decrease the likelihood of deformities? (Select all that apply.)
1. Stopping an activity if it is beyond their ability to perform
2. Ignoring pain as a warning signal
3. Typing instead of writing
4. Using stronger joints for an activity
5. Avoiding stress away from the deformity
1. Stopping an activity if it is beyond their ability to perform
3. Typing instead of writing
5. Using stronger joints for an activity
Rationale:
The client with RA should never attempt to push a joint beyond its ability. Writing requires using a strong grip, so typing is preferable. Using a stronger joint or part of the body, such as the palm, to carry items is preferable to grasping. Pain is a warning signal, and the client with RA should stop any activity causing pain. When performing a task, the client should avoid stress in the area of the deformity to help prevent further deformities.
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When auscultating the tricuspid area, you hear a split S1 . You determine that the split is wider than usual during inspiration and is still heard during expiration. An abnormally split S1 is commonly heard in mitral stenosis because the
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A patient's recent stroke has had a profound effect on his communication. To foster an atmosphere that is conducive to communication and the recovery of speech the nurse should:
A) Speak to the patient using simplified vocabulary and short sentences. B) Disregard the patient's gestures in an effort to encourage speech. C) Adhere to predictable schedules whenever possible. D) Ensure that the patient receives constant stimulation during daytime hours.
Which section of the report allows the nurse researcher to determine if data collection was consistent?
a. Results b. Discussion c. Literature review d. Methods