When a patient with rheumatoid arthritis reports severe joint pain, which nursing action is appropriate?

• A. Drape the sheets over the footboard of the bed
• B. Apply ice to joints
• C. Massage affected joints
• D. Provide rest and analgesia as ordered

Answer: (A)

Managing pain in rheumatoid arthritis during a flare centers on relieving the discomfort and preserving energy for function. Providing rest helps reduce joint stress and fatigue, while analgesia as ordered directly lowers the pain level, making it easier for the patient to rest and participate in activities as tolerated. Massage of inflamed joints can irritate tissue and worsen pain, so it’s not appropriate during a severe flare. Ice to joints might be used for short-term relief in some cases, but it’s not the primary intervention. Drape the sheets over the footboard does not address pain relief or joint protection and isn’t a targeted treatment for the current complaint.