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Zorluk: OrtaBasic Care and Comfort

An individual with an acute exacerbation of rheumatoid arthritis is admitted to the medical-surgical unit. During morning rounds, the client reports significant joint stiffness and bilateral hand pain that makes moving difficult. Which nursing action is most appropriate to promote comfort and facilitate the client's activities of daily living?

  1. Coordinate with the client to schedule a warm shower immediately upon awakening before assisting with other tasks.Cevap
  2. B
    Place supportive pillows directly under the client's knee joints to alleviate pressure and reduce pain while resting.
  3. C
    Reassure the client that progressive morning stiffness is a normal physiological consequence of the aging process.
  4. D
    Assign unlicensed assistive personnel to perform passive range-of-motion exercises on the inflamed joints to improve flexibility.

Cevap

Coordinate with the client to schedule a warm shower immediately upon awakening before assisting with other tasks.
Coordinating a warm shower immediately upon awakening is the most effective intervention because moist heat decreases muscle tension, alleviates joint stiffness, and provides non-pharmacologic pain relief. This directly facilitates the client's ability to participate in activities of daily living.

Adım Adım Çözüm

1
Identify the client's underlying pathology and primary symptom.
The client is experiencing an acute exacerbation of rheumatoid arthritis, characterized by severe morning joint stiffness and pain.
Understanding the specific disease process is essential for selecting safe and effective non-pharmacologic comfort measures.
2
Determine the most appropriate evidence-based intervention for morning stiffness.
The application of moist heat, such as a warm shower or bath, is identified as the optimal intervention.
Heat therapy increases blood flow, relaxes muscle spasms, and significantly reduces joint stiffness associated with rheumatoid arthritis.
3
Evaluate the safety and appropriateness of the remaining options.
The other options pose safety risks, such as contractures from improper positioning, inappropriate delegation, or inaccurate disease education.
Providing basic care and comfort requires prioritizing interventions that avoid exacerbating the client's condition or causing further injury.

Anahtar Kavram

Basic Care and Comfort: Non-pharmacologic Pain Management and Positioning
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Konular

Basic Care and Comfort

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