A nurse is collecting data from a client who has osteoarthritis and reports pain and limited mobility in both knees.
Which of the following recommendations should the nurse make?

Use a recliner when sitting for long periods.

Apply moist heat to the knees.

Sleep on a soft mattress.

Place large pillows under the knees when lying in bed.

Answer and Explanation

The Correct Answer is B

Moist heat can help reduce pain and stiffness in the joints by increasing blood flow and relaxing the muscles. Moist heat can be applied using warm compresses, heating pads, or warm baths.

Choice A is wrong because using a recliner when sitting for long periods can increase pressure on the knees and decrease circulation. A better option is to use a straight-backed chair with a footstool.

Choice C is wrong because sleeping on a soft mattress can cause poor alignment of the spine and joints, which can worsen pain and mobility. A firm mattress is recommended for clients with osteoarthritis.

Choice D is wrong because placing large pillows under the knees when lying in bed can limit the range of motion of the knees and cause contractures. A small pillow under the knees can provide some support and comfort, but it should not be too large or too high.

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Correct Answer is B

Explanation

It occurs because nicotine stimulates the release of dopamine, a neurotransmitter that regulates mood and pleasure. When nicotine intake is stopped, dopamine levels drop and cause anxiety and irritability.

Choice A is wrong because tachycardia, or rapid heart rate, is not a symptom of nicotine withdrawal. In fact, smoking can increase blood pressure and heart rate, so quitting smoking may lower them.

Choice C is wrong because weight loss is not a symptom of nicotine withdrawal. On the contrary, weight gain is more likely to occur after quitting smoking, because nicotine suppresses appetite and increases metabolism.

Choice D is wrong because vomiting is not a symptom of nicotine withdrawal. Vomiting may be a side effect of some nicotine replacement therapies, such as patches or gum, but it is not caused by the lack of nicotine itself.

A. “My baby will be monitored for hypoglycemia after birth.” B. “I will check my blood glucose once every 8 hours.” C. “My baby is at risk for being underweight at birth.” D. “I should ensure that only 5 percent of my daily calories come from protein sources.”

Correct Answer is A

Explanation

This statement indicates an understanding of the teaching because babies born to mothers with gestational diabetes mellitus (GDM) are at risk for low blood sugar (hypoglycemia) after birth due to high insulin levels.

Choice B is wrong because a client who has GDM should check their blood glucose more frequently than once every 8 hours. The American Diabetes Association recommends checking blood glucose levels before meals and one hour after the start of each meal.

Choice C is wrong because a baby born to a mother with GDM is at risk for being overweight (macrosomia) at birth, not underweight. This can lead to complications such as shoulder dystocia, birth trauma, and cesarean delivery.

Choice D is wrong because a client who has GDM should ensure that about 15 to 20 percent of their daily calories come from protein sources, not 5 percent. Protein helps regulate blood glucose levels and supports fetal growth.

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A nurse is collecting data from a client who has osteoarthritis and reports pain and limited mobility in both knees. Which of the following recommendations should the nurse make?

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A nurse is collecting data from a client who has osteoarthritis and reports pain and limited mobility in both knees.
Which of the following recommendations should the nurse make?