Given what we know about rheumatoid arthritis, we can confirm that the nurse can determine that the teaching is effective when the client makes the statement that "<em>Rheumatoid arthri</em><em>tis includes </em><em>joint involvement </em><em>that is usually </em><em>symmetric </em><em>and </em><em>polyarticular</em>".
Arthritis is one of many diseases in the autoimmune category. An autoimmune disease is one in which the immune system of the patient attacks its own cells. <em><u>The reasons behind this remain unknown</u></em>. In the case of Rheumatoid arthritis, the attacks remain isolated to the joints. The immune system causes the joints to be unable to produce synovial liquid, which causes inflamation.
As stated by the patient, Rheumatoid arthritis includes joint involvement that is usually symmetric and polyarticular. What this means is that any diarthrodial joint can be affected by the condition and is usually collateral, meaning that <u>if the left hand is affected, the right hand often is as well.</u>
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