A patient with osteoarthritis who had a right total knee replacement tells the nurse that the other knee is becoming painful. Which of the following is the most appropriate instruction to help the patient preserve function of the left knee?

Reduce dietary purines.

Begin a jogging program.

Maintain ideal body weight.

Maintain normal uric acid levels

Answer and Explanation

The Correct Answer is C

A. Reduce dietary purines.: This is more relevant for patients with gout, not osteoarthritis. Purine reduction helps control uric acid levels.
B. Begin a jogging program.: High-impact exercises like jogging can exacerbate knee pain and accelerate joint degeneration in osteoarthritis.
C. Maintain ideal body weight.: Maintaining an ideal body weight reduces stress on the knees and helps preserve joint function and delay the progression of osteoarthritis.
D. Maintain normal uric acid levels.: Uric acid levels are related to gout, not osteoarthritis. Maintaining normal levels does not directly affect osteoarthritis.

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Correct Answer is ["B","C","E"]

Explanation

A. Eliminate sodium: While reducing sodium intake is important for managing conditions like hypertension, "Eliminate sodium" is not typically what the E in LIFESTYLE stands for. The focus is often on moderation rather than complete elimination.
B. Embark on weight loss: This is relevant as weight management is crucial for overall health and preventing or managing conditions like heart disease, diabetes, and hypertension. "Embark on weight loss" aligns with promoting a healthier lifestyle.
C. Exercise regularly: Regular exercise is a cornerstone of a healthy lifestyle. It helps manage weight, improves cardiovascular health, and enhances overall well-being, making it an essential component of the LIFESTYLE acronym.
D. End-stage complications will be avoided: This statement is not a direct lifestyle recommendation or action. The focus is on proactive measures rather than outcomes.
E. Eat more fruits and vegetables: Increasing the intake of fruits and vegetables is a key dietary recommendation for improving health and preventing chronic diseases. This aligns well with lifestyle modifications promoting a balanced and nutritious diet.

A. Place three pillows between the legs, one distal and three proximal. B. Side-lying position is permitted with a pillow between the legs. C. Sitting in a bedside chair is permitted if the legs are elevated. D. A triangular pillow is used between the legs to avoid adduction.

Correct Answer is D

Explanation

A. Place three pillows between the legs, one distal and three proximal: This is incorrect and excessive. Using three pillows in this manner can lead to improper leg positioning and discomfort.
B. Side-lying position is permitted with a pillow between the legs: While side-lying is allowed, the pillow is to prevent adduction of the legs, not just any pillow placement. It must specifically keep the hips aligned.
C. Sitting in a bedside chair is permitted if the legs are elevated: While sitting is often encouraged, elevating the legs too high can risk hip dislocation or improper alignment. The patient should sit in a way that maintains proper hip angles and alignment.
D. A triangular pillow is used between the legs to avoid adduction: A triangular or abduction pillow helps keep the legs in an appropriate position, preventing the legs from crossing and reducing the risk of hip dislocation post-surgery.

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A patient with osteoarthritis who had a right total knee replacement tells the nurse that the other knee is becoming painful. Which of the following is the most appropriate instruction to help the patient preserve function of the left knee?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which term(s) would the E's in the LIFESTYLE acronym represent when reinforcing teaching to a patient about lifestyle modifications? Select all that apply.

Correct Answer is ["B","C","E"]

Explanation

The nurse is assisting with patients in an orthopedic unit. Which is an important factor to remember when caring for patients after a total hip replacement?

Correct Answer is D

Explanation

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