A nurse is providing teaching to a client who has chronic pain related to osteoarthritis. Which of the following instructions should the nurse include?
"Use moist heating pads on your joints."
Place a large pillow under your head."
"Do not perform muscle strengthening exercises."
"Position a heavy bag of ice over your joints."
The Correct Answer is A
A. "Use moist heating pads on your joints." Moist heat can help relieve pain and stiffness in joints affected by osteoarthritis. It promotes blood flow and relaxation of muscles around the joint.
B. "Place a large pillow under your head." While proper head support is important for comfort, a large pillow might not be the best option as it can cause neck strain and is not specifically related to managing osteoarthritis pain.
C. "Do not perform muscle strengthening exercises." Muscle strengthening exercises are actually recommended for managing osteoarthritis as they help support and stabilize joints, reducing pain and improving function.
D. "Position a heavy bag of ice over your joints." While cold therapy can be useful for acute pain or inflammation, a heavy bag of ice can cause discomfort and potential tissue damage. Cold packs or ice bags used for short periods are more appropriate.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Keep daily cholesterol intake between 500 to 750 mg. The recommended daily cholesterol intake is less than 300 mg.
B. Keep daily fat intake between 20% to 35% of total calories. This is the recommended range for fat intake according to dietary guidelines.
C. Keep daily protein intake between 40% to 50% of total calories. The recommended range for protein intake is about 10% to 35% of total calories.
D. Keep daily sodium intake between 2,000 to 2,500 mg. The recommended daily sodium intake is less than 2,300 mg, and ideally less than 1,500 mg for most adults.
Correct Answer is D
Explanation
A. "Report a firm ridge below the breasts to the provider." A firm ridge along the bottom curve of the breast can be normal. It’s important to distinguish between normal breast tissue and abnormal lumps. Encouraging clients to report any changes or new lumps to the provider is more appropriate.
B. "Keep your arm relaxed at your side on the side you are examining." The correct technique involves raising the arm on the side being examined to help spread out the breast tissue, making it easier to palpate for lumps and abnormalities.
C. "Use your thumb and forefinger to palpate each breast for lumps." The correct technique involves using the pads of the fingers (not the thumb and forefinger) to palpate the breast in a systematic pattern, such as circular motions or vertical strips, to thoroughly check all areas of the breast.
D. "Use firm pressure to palpate near the area of the ribs and chest wall." Using firm pressure is appropriate for palpating deeper tissues closer to the ribs and chest wall, as this helps detect lumps that may not be superficial.
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