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The client's presentation is consistent with Select…rheumatoid arthritisosteoarthritisgoutfibromyalgia, an example of a Select…chronic autoimmune inflammatorydegenerative non-inflammatorymetabolic crystal-depositioninfectious disease.

First-line disease-modifying therapy is Select…methotrexate weeklyhigh-dose IV steroids indefinitelyopioids as the mainstay of therapycolchicine daily and the nurse should teach the client to Select…balance rest with joint-protective exercise and apply heat for stiffnessavoid all activity to prevent flareapply ice as the only comfort measurestop DMARDs whenever they feel well.