A nurse is reinforcing teaching with a client who has osteoarthritis. Which of the following information should the nurse include in the teaching?

Apply a heat pack with a temperature below body temperature.

Elevate the affected joint on large pillows

Take acetaminophen as the primary medication to treat the pain

Decrease foods high in purines

Answer and Explanation

The Correct Answer is A

A.   Heat application can help relieve pain and stiffness associated with osteoarthritis.
However, it is important to use a heat pack with a temperature below body temperature to avoid skin burns.
B.   Elevation is generally more relevant for conditions involving swelling, and it may not be the primary recommendation for osteoarthritis.
C.   Acetaminophen is a common pain reliever, but other medications such as nonsteroidal anti-inflammatory drugs (NSAIDs) may also be used for osteoarthritis pain management.
D.   Decreasing foods high in purines is more relevant for conditions like gout, which is not typically associated with osteoarthritis.

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Correct Answer is C

Explanation

A. Acute pain is more likely to increase respiratory rate, not decrease it.
B. Acute pain does not typically cause hypoglycemia.
C. Acute pain is often associated with an increase in blood pressure (hypertension).
D. Acute pain tends to increase heart rate (tachycardia), not decrease it.

A. Elevate the head of the client’s bed to 45° during meals. B. Instruct the client to tilt their head back while swallowing. C. Turn on the television for the client during meals. D. Provide the client with oral hygiene.

Correct Answer is A

Explanation

A. Elevating the head of the client's bed to 45° during meals helps prevent aspiration by promoting proper swallowing and reducing the risk of food or liquids entering the airway.
B. Instructing the client to tilt their head back while swallowing is not recommended, as it may increase the risk of aspiration.
C. Turning on the television during meals is unrelated to reducing the risk of aspiration pneumonia.
D. Providing the client with oral hygiene is important for overall health but does not specifically address the risk of aspiration pneumonia.

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A nurse is reinforcing teaching with a client who has osteoarthritis. Which of the following information should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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