A nurse is reinforcing discharge teaching with an older adult client who has osteoarthritis. Which of the following statements by the client indicates an understanding of the teaching?
"I will apply cold compresses when my joints are painful."
"I will limit purine intake in my diet."
"I plan to take water aerobics classes at the gym near my house."
"I will avoid the use of ibuprofen for pain control."
The Correct Answer is C
The statement by the client that indicates an understanding of the teaching is "I plan to take water aerobics classes at the gym near my house." Exercise is an important part of managing osteoarthritis, and water aerobics is a low-impact exercise that can help improve joint mobility and reduce pain.
Option a is incorrect because applying cold compresses may not be the most effective way to manage pain associated with osteoarthritis. Heat therapy is often more effective for this condition.
Option b is incorrect because limiting purine intake in the diet is recommended for clients with gout, not osteoarthritis.
Option d is incorrect because ibuprofen can be an effective pain reliever for clients with osteoarthritis.
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Naxlex Comprehensive Predictor Exams
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Correct Answer is B
Explanation
Kosher dietary laws, as observed in Judaism, have specific dietary restrictions. One of the primary restrictions is the prohibition of consuming shellfish and pork. Shrimp and clam chowder, which are made from shellfish, and the pulled-pork sandwich, which contains pork, are not suitable options for a kosher diet.
Roasted salmon, on the other hand, is an appropriate choice. Fish that have both fins and scales, such as salmon, are considered kosher and can be included in a kosher diet.
Correct Answer is B
Explanation
The nurse should inform the client that they can use an adhesive remover when changing the colostomy skin barrier. Adhesive removers are helpful in gently removing the adhesive residue left behind by the previous ostomy appliance. This can make the process of changing the colostomy skin barrier more comfortable for the client and help prevent skin irritation or damage.
Explanation for the other options:
a. "You should scrub the skin around the colostomy when cleaning." Scrubbing the skin around the colostomy can be harsh and may cause skin irritation or damage. It is recommended to clean the peristomal skin gently using mild soap and water, followed by thorough drying.
c. "You will need a device to suction stool from the colostomy bag." Suctioning stool from the colostomy bag is not a routine procedure for colostomy care. Colostomy bags are designed to collect stool, and emptying the bag as needed is the appropriate method of management.
d. "You should empty the colostomy bag when it is three-fourths full." The timing of emptying the colostomy bag may vary for each individual. It is generally recommended to empty the colostomy bag when it is one-third to one-half full to prevent leakage or discomfort. The client should be educated on monitoring the bag and emptying it as necessary based on their own output and comfort level.
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