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."

Answer and Explanation

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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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.

A. "Your pain will gradually become less severe." B. The pain will disappear soon." C. "it's likely that you will have only a tingling sensation." D. "Phantom pain is mostly psychological.

Correct Answer is A

Explanation

A. "Your pain will gradually become less severe." This statement is accurate and provides realistic expectations for the client. After an amputation, there will be initial post operative pain, but it should gradually decrease over time.

B. "The pain will disappear soon." This statement is not accurate. While the pain will eventually decrease, it may not completely disappear immediately after the procedure.

C. "It's likely that you will have only a tingling sensation." This statement is not accurate. While some clients may experience tingling sensations, it is not the only sensation they may feel, and this statement does not cover the full range of possible experiences.

D. "Phantom pain is mostly psychological." This statement is not accurate. Phantom pain is a real sensation that some individuals experience after an amputation. It is believed to be related to nerve endings that continue to send signals to the brain even though the limb is no longer present. It is not purely psychological.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for an older adult client who has a fractured hip and will require rehabilitative care. The client's family asks the nurse for information about this type of care. Which of the following explanations should the nurse provide?

Correct Answer is C

Explanation

A nurse is caring for a client who has a severe gangrenous infection of the right lower extremity. The nurse should plan preoperative teaching based on the possibility of which of the following amputation procedures?

Correct Answer is A

Explanation

A nurse is assessing a client who is in skeletal traction. Which of the following findings should the nurse identify as an indication of infection at the pin sites?

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