A nurse is caring for a client on an orthopedic unit. The client is experiencing joint discomfort and stiffness, particularly in the morning. The healthcare team is monitoring the client closely for any changes in mobility or overall well-being. Complete the diagram by dragging from the choices below to specify 1 potential condition the client is most likely experiencing, 2 actions the nurse would take to address that condition, and 2 parameters the nurse would monitor to assess the client's progress.

Rationale: The client’s symptoms of morning stiffness, symmetrical joint involvement (hands and knees), swelling of proximal interphalangeal joints, and elevated ESR and CRP with a positive rheumatoid factor are characteristic of rheumatoid arthritis. This autoimmune condition causes chronic inflammation of synovial joints, leading to pain, stiffness, and decreased function. Encouraging range of motion exercises helps maintain joint flexibility, prevent contractures, and improve mobility in clients with rheumatoid arthritis. Administering anti-inflammatory medications reduces joint inflammation, alleviates pain, and slows disease progression. Monitoring pain level provides insight into the effectiveness of treatment and the client’s functional status. Assessing joint swelling helps evaluate the degree of inflammation and progression or improvement of the disease.