Author Question: The visiting nurse cares for an older client with rheumatoid arthritis. During a nurse's visit to ... (Read 27 times)

vicky · **on:** Jul 19, 2018

The visiting nurse cares for an older client with rheumatoid arthritis. During a nurse's visit to supervise the home health aide, the client reports a flare-up in symptoms and the pain medication is not helping.

To plan continuing care for the client, it would be important to focus on: 1. Emotional issues and depression.
2. Environmental conditions, temperature, and humidity.
3. Medication tolerance and addiction.
4. Dietary changes.

Question 2

A client having a severe panic attack may require the nurse to provide:

1. Teaching about anxiety.
2. Firm reassurance and protection until the episode subsides.
3. A physical activity for the client to focus on.
4. Teaching about ways to decrease anxiety.

macagnavarro · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

1
Rationale: There is a strong connection between emotional life and rheumatoid arthritis. Stressors and depression are associated with flare-ups. This creates a cyclic experience in which depression, flare-ups, and loss of mobility compound and exacerbate. Dietary changes, environmental conditions, and medication issues are not the primary focus.

Answer to Question 2

2
Rationale: Offering firm reassurance and protection until the episode subsides provides safety for the client. Teaching about anxiety and ways to decrease anxiety are not appropriate because a client having a severe panic attack cannot learn at this level of anxiety. The client is unable to focus on a physical activity at this level of anxiety.