After becoming incontinent of urine, an older client is admitted to a nursing home. the client's rheumatoid arthritis contributes to severely painful joints. the primary consideration in the care of this client is the need for:
1. control of pain
2. immobilization of joints
3. motivation and teaching
4. bladder training and control

1. Control of pain

Explanation:

Rheumatoid arthritis is an inflammation disorder of joints. It is chronic. It not only affects the joints but also affects the skin, eyes, heart, lungs and blood vessels. It is an autoimmune disorder which the immune system affects self-tissues.

It involves pain and swelling in the joints. Bone erosion and joint deformity are other symptoms.

According to the given situation, joints of the client must be exercised and must not be immobilized to prevent stiffness. This will help in controlling the pain.  

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