Answer to Question 1
3. Pain
Rationale:
The client is describing leg aching and the inability to be comfortable. The nursing diagnosis most appropriate for the client at this time would be pain. The client may also have an alteration in sensory perception, anxiety, and ineffective coping, but the diagnosis of pain is the priority.
Answer to Question 2
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.