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.
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Related Questions
Correct Answer is D
Explanation
A. Decrease in heart rate: Acute pain typically causes an increase in heart rate, not a decrease.
B. Increase in vagal nerve tone: An increase in vagal nerve tone can actually result in a decreased heart rate and is not a direct indicator of acute pain.
C. Decrease in respiratory rate: Acute pain usually causes an increase in respiratory rate, not a decrease.
D. Increase in muscle tone: This is correct. An increase in muscle tone can indicate acute pain as the body tenses in response to pain.
Correct Answer is B
Explanation
A. Draw up the formula into a syringe. This step is premature and should be done after confirming the tube placement and checking for residual volume.
B. Determine the pH level of gastric contents. Checking the pH level of gastric contents helps confirm the placement of the nasogastric tube in the stomach, which is crucial before administering feedings or medications to prevent aspiration.
C. Flush the nasogastric tube with 30 mL of water. Flushing is important but should be done after confirming tube placement.
D. Measure the total volume of gastric residual. Measuring residual volume is important but should be done after confirming tube placement.
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