A nurse is reinforcing teaching with a client who has osteoarthritis and is taking acetaminophen for pain management. Which of the following statements should the nurse include in the teaching?
Apply an ice pack to painful joints for 20 minutes, 3 times a day.
Take a dose of aspirin on days when you have more pain.
Increase your water intake to 2 liters per day.
Participate in high impact aerobics to increase joint mobility.
The Correct Answer is C
Choice A rationale
Applying an ice pack to painful joints can help reduce inflammation and numb the area, providing temporary pain relief. However, it is not a recommended long-term strategy for managing osteoarthritis pain. Heat therapy is often more effective for chronic pain associated with osteoarthritis.
Choice B rationale
Taking aspirin on days with more pain is not recommended for osteoarthritis management. Aspirin is an NSAID and can cause gastrointestinal side effects with long-term use.
Acetaminophen is preferred for managing osteoarthritis pain due to its lower risk of side effects.
Choice C rationale
Increasing water intake to 2 liters per day is beneficial for overall health and can help maintain joint lubrication. Proper hydration is important for joint health and can help reduce the risk of further joint damage.
Choice D rationale
High-impact aerobics are not recommended for individuals with osteoarthritis as they can exacerbate joint pain and damage. Low-impact exercises such as swimming, cycling, and walking are better options for maintaining joint mobility and reducing pain.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Placing a sandbag to the lateral calf is not an effective method to prevent hip dislocation. Sandbags are typically used to provide support and immobilization in other contexts, such as stabilizing fractures. They do not provide the necessary support to prevent hip dislocation after a total hip arthroplasty.
Choice B rationale
Placing a wedge pillow between the legs is an effective method to prevent hip dislocation after a total hip arthroplasty. The wedge pillow helps to maintain proper alignment of the hip joint by keeping the legs abducted (apart) and preventing adduction (bringing the legs together), which can cause dislocation.
Choice C rationale
Placing a trochanter roll against the thigh is not specifically aimed at preventing hip dislocation. Trochanter rolls are used to prevent external rotation of the hip in patients who are immobile, but they do not provide the necessary support to prevent dislocation after hip surgery.
Choice D rationale
Placing a footboard on the bed is not an effective method to prevent hip dislocation. Footboards are used to provide support to the feet and prevent foot drop in bedridden patients, but they do not address the risk of hip dislocation.
Correct Answer is D
Explanation
Choice A rationale
Constipation is not a common adverse effect of aspirin therapy. Aspirin primarily affects the gastrointestinal tract by causing irritation, which can lead to symptoms such as nausea, vomiting, and abdominal pain. Constipation is more commonly associated with medications that slow down bowel movements, such as opioids.
Choice B rationale
Blurred vision is not typically associated with aspirin therapy. Aspirin is a nonsteroidal anti- inflammatory drug (NSAID) that works by inhibiting the production of prostaglandins, which are involved in inflammation and pain. Blurred vision is more commonly associated with medications that affect the central nervous system or have anticholinergic effects.
Choice C rationale
Insomnia is not a common adverse effect of aspirin therapy. Aspirin does not have stimulant properties that would interfere with sleep. Insomnia is more commonly associated with medications that have stimulating effects, such as caffeine or certain antidepressants.
Choice D rationale
Bleeding is a well-known adverse effect of aspirin therapy. Aspirin inhibits platelet aggregation, which can increase the risk of bleeding. This can manifest as gastrointestinal bleeding, easy bruising, or prolonged bleeding from cuts. Patients taking aspirin should be monitored for signs of bleeding and advised to report any unusual bleeding to their healthcare provider.
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