A clinic nurse is developing a self-care teaching plan for a 72-year-old client with rheumatoid arthritis who is experiencing significant bilateral hand stiffness and pain. Which action or instruction should the nurse include in the client's plan of care to best promote independence?
- ADelegate to the unlicensed assistive personnel (UAP) the task of evaluating the client's ability to safely demonstrate joint-protection techniques.
- BReassure the client that the sudden onset of acute confusion and disorientation during morning care is a normal, expected part of the aging process.
- Instruct the client to utilize adaptive equipment, such as built-up handles on utensils and zipper pulls, to minimize stress on the small joints.Answer
- DTeach the client that undergoing routine blood tests for inflammatory markers serves as a primary prevention measure to stop the disease from worsening.
Answer
The nurse should instruct the client to utilize adaptive equipment, such as built-up handles on utensils and zipper pulls, to minimize stress on the small joints.
The correct action promotes independence and self-care by utilizing adaptive devices that allow the client to perform activities of daily living (ADLs) without placing excessive strain on the small, inflamed joints of the hands. This aligns with the principles of joint protection and energy conservation for clients with rheumatoid arthritis.
Step-by-Step Solution
Key Concept
Self-Care and Joint Protection in Rheumatoid Arthritis