A nurse in a medical clinic is providing teaching to an older adult client who has osteoarthritis that is affecting her knees. Which of the following client statements indicates an understanding of the teaching?
"Ibuprofen is the first step in medication therapy for osteoarthritis."
"I will elevate my legs by placing two pillows under my knees when I go to bed."
"I can use either heat or ice to help relieve the discomfort."
"I should limit physical activity to prevent further injury."
The Correct Answer is C
A. Stating that ibuprofen is the first step in medication therapy for osteoarthritis is not an accurate statement. Medication choices should be made in consultation with a healthcare provider, and different medications may be prescribed based on individual needs.
B. Elevating the legs with pillows is generally not a specific intervention for osteoarthritis in the knees. While elevation can help with other conditions, it is not a primary recommendation for managing knee osteoarthritis.
C. Using either heat or ice can be helpful in relieving discomfort associated with osteoarthritis. This statement indicates an understanding of self-care strategies for managing symptoms.
D. Limiting physical activity is not typically recommended for osteoarthritis management. In fact, regular and appropriate physical activity can be beneficial for maintaining joint function and reducing pain in individuals with osteoarthritis.
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Related Questions
Correct Answer is C
Explanation
A. Teaching the primary caregiver is an important component of post-discharge planning, but the focus of rehabilitative care is on the client’s functional recovery, mobility, and independence rather than solely caregiver instruction.
B. Rehabilitation supports recovery, but effective outcomes require early initiation. Planning and interventions often start during hospitalization to address mobility deficits, prevent complications such as pressure injuries or deconditioning, and prepare the client for a safe transition to the next level of care.
C. Rehabilitative care begins with hospital admission, when the healthcare team evaluates the client’s physical and functional status, develops individualized goals, and initiates early interventions. Early rehabilitation is supported by research to improve mobility, reduce length of stay, and optimize long-term functional outcomes.
D. Rehabilitation is not confined to long-term care facilities; it can occur in hospitals, outpatient clinics, specialized rehab centers, and at home, depending on the client’s needs and recovery trajectory.
Correct Answer is D
Explanation
A. Ecchymosis of the distal foot may be expected after the application of a cast and is not necessarily an immediate concern unless it is severe or rapidly worsening.
B. Dependent edema distal to the cast can occur as a normal response to immobilization. It is not an immediate concern unless it is severe or associated with other concerning symptoms.
C. A moderate level of pain can be expected after the application of a cast. It should be managed appropriately, but it is not an immediate concern unless it is severe or uncontrolled.
D. Inability to flex the toes of the casted foot suggests a potential issue with circulation or nerve function, which requires immediate notification of the provider.
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