A nurse is educating a client who has osteoarthritis of the knee. Which of the following explanations should the nurse give to the client as part of the disease process?

Damage to cartilage and bone can progressively worsen.

Organ failure in later stages may occur without treatment.

Inflammation will resolve over time.

There will be periods of flare-ups and remission of symptoms.

Answer and Explanation

The Correct Answer is A

Choice A reason: Damage to cartilage and bone can progressively worsen. This is a characteristic of osteoarthritis. The disease is a degenerative joint disease that results in the loss of cartilage, which cushions the ends of bones in joints. As the disease progresses, the cartilage becomes thinner and may wear away entirely, causing the bones to rub against each other. This can result in pain, stiffness, and loss of joint movement.

Choice B reason:

Organ failure in later stages may occur without treatment. This statement is not typically associated with osteoarthritis. While osteoarthritis can significantly impact a person's quality of life, it does not directly cause organ failure. However, it's important to manage osteoarthritis effectively to maintain overall health and prevent secondary complications.

Choice C reason:

Inflammation will resolve over time. This is not typically true for osteoarthritis. While some people with osteoarthritis may experience periods of reduced symptoms, the underlying disease process does not resolve over time. In fact, osteoarthritis usually worsens over time.

Choice D reason:

There will be periods of flare-ups and remission of symptoms. This is true for many people with osteoarthritis. Symptoms can vary and may become more severe during periods of activity or stress on the joint. Conversely, symptoms may decrease during periods of rest or with effective management strategies.

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Correct Answer is C

Explanation

Choice A reason:
Clay-colored stools are typically associated with issues in the biliary system, such as bile duct obstruction or liver infections, and not directly with aspirin use. Aspirin does not typically cause a change in stool color unless there is gastrointestinal bleeding, which would more likely result in black, tarry stools.

Choice B reason:
Nystagmus, which is a vision condition characterized by repetitive, uncontrolled eye movements, is not a known side effect of aspirin. This condition is more commonly associated with neurological disorders, certain medications, or alcohol intoxication.

Choice C reason:
Tinnitus, or ringing in the ears, is a recognized adverse effect of aspirin, especially when taken in high doses or for a prolonged period. It occurs due to aspirin's effect on the inner ear's cochlear cells and can be a sign of salicylate toxicity.

Choice D reason:
Respiratory depression is not a typical side effect of aspirin. Aspirin can cause respiratory alkalosis in cases of overdose, but it does not depress respiration. Instead, it may cause hyperventilation due to stimulation of the respiratory center in the brain.

A. Use chemotherapy instead of radiation. B. Use fertility medications during treatment. C. Use radiation shielding techniques. D. Use surgical interventions to remove the cancer.

Correct Answer is C

Explanation

Choice A reason:
Using chemotherapy instead of radiation may not be a viable option as the treatment plan is based on the type and stage of cancer. Chemotherapy can also affect fertility, so it is not a direct solution to the concern of infertility.

Choice B reason:
Fertility medications during treatment might help preserve fertility, but they do not address the direct impact of radiation on reproductive organs. Additionally, the use of such medications should be discussed with an oncologist and a fertility specialist.

Choice C reason:
Radiation shielding techniques involve using protective shields to limit radiation exposure to the reproductive organs. This can help reduce the risk of infertility caused by radiation, especially when the pelvic area is involved in the treatment.

Choice D reason:
Surgical interventions to remove the cancer may be part of the treatment plan, but they do not directly address the concern of radiation-induced infertility. Surgery can also result in infertility, depending on the organs involved and the extent of the procedure.

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A nurse is educating a client who has osteoarthritis of the knee. Which of the following explanations should the nurse give to the client as part of the disease process?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is taking aspirin for arthritis. The nurse should identify which of the following findings as an adverse effect of this medication?

Correct Answer is C

Explanation

A nurse is educating a client who was recently diagnosed with cancer and tells the nurse they are worried about infertility following radiation treatment. Which of the following interventions should the nurse recommend?

Correct Answer is C

Explanation

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