A patient with rheumatoid arthritis being seen in the clinic has ...

[debasdf]

A patient with rheumatoid arthritis being seen in the clinic has rheumatoid nodules on the elbows. Which action will the nurse take?
 
  a. Draw blood for rheumatoid factor analysis.
  b. Teach the patient about injections for the nodules.
  c. Assess the nodules for skin breakdown or infection.
  d. Discuss the need for surgical removal of the nodules.

Question 2

Which action will the nurse include in the plan of care for a 33-year-old patient with a new diagnosis of rheumatoid arthritis?
 
  a. Instruct the patient to purchase a soft mattress.
  b. Suggest that the patient take a nap in the afternoon.
  c. Teach the patient to use lukewarm water when bathing.
  d. Suggest exercise with light weights several times daily.

[tanna.moeller]

Answer to Question 1

ANS: C
Rheumatoid nodules can break down or become infected. They are not associated with changes in rheumatoid factor, and injection is not needed. Rheumatoid nodules are usually not removed surgically because of a high probability of recurrence.

Answer to Question 2

ANS: B
Adequate rest helps decrease the fatigue and pain that are associated with rheumatoid arthritis. Patients are taught to avoid stressing joints, to use warm baths to relieve stiffness, and to use a firm mattress. When stabilized, a therapeutic exercise program is usually developed by a physical therapist to include exercises that improve the flexibility and strength of the affected joints, and the patient's overall endurance.