A client has just recently been diagnosed with rheumatoid arthritis (RA). The client asks the nurse if RA always causes crippling deformities. Which teaching topics will the nurse include as ways to decrease the likelihood of crippling deformities?
Select all that apply.
A) Ignore pain as a warning signal.
B) Type instead of hand-writing items if possible.
C) Use stronger joints for most activity.
D) Avoid stress to any current area of deformity.
E) Stop an activity if it is beyond your ability to perform.
Answer: B, C, D, E
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 that causes 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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