The nurse is providing education to a client with osteoarthritis about the use of assistive devices. Which of the following statements by the client indicates understanding of the instructions?
"I will use a cane on the same side as my affected knee."
"I will use a walker to help me move around my house."
"I will place the crutches under my arms for support."
"I will use a wheelchair for all my daily activities."
The Correct Answer is B
Using a walker is an appropriate choice for a client with osteoarthritis who needs support and stability while moving around the house. It helps distribute weight evenly and reduces stress on the affected joints. Using a cane on the same side as the affected knee can provide some support but may not be as effective as a walker. Placing the crutches under the arms is not a correct technique for using crutches, as they should be positioned in the hand grips for proper support. Using a wheelchair for all daily activities may not be necessary for a client with osteoarthritis, as it may lead to decreased mobility and muscle weakness.
a. "I will use a cane on the same side as my affected knee." Using a cane on the same side as the affected knee may not provide sufficient support and stability for the client.
c. "I will place the crutches under my arms for support." Placing the crutches under the arms is not a correct technique for using crutches, as they should be positioned in the hand grips for proper support.
d. "I will use a wheelchair for all my daily activities." Using a wheelchair for all daily activities may not be necessary for a client with osteoarthritis, as it may lead to decreased mobility and muscle weakness.
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Correct Answer is C
Explanation
Regularly inspecting the client's skin for signs of redness or irritation is crucial to prevent skin breakdown in individuals with osteoarthritis. Since they may have difficulty changing positions frequently due to joint pain, it is essential to identify early signs of pressure sores or skin breakdown and implement appropriate interventions. Providing a firm mattress and using pressure-relieving devices (such as cushions and heel protectors) are recommended to prevent skin breakdown. Encouraging the client to sit or lie in one position for extended periods can lead to pressure ulcers. Applying lotion with a high alcohol content can dry out the skin and increase the risk of skin irritation and breakdown.
a. Providing a firm mattress and using pressure-relieving devices are essential interventions to prevent skin breakdown in clients with osteoarthritis.
b. Encouraging the client to sit or lie in one position for extended periods can lead to pressure ulcers and skin breakdown. Frequent position changes are important for preventing pressure sores.
Correct Answer is C
Explanation
Lack of physical activity and a sedentary lifestyle are risk factors for osteoarthritis. Regular physical activity helps maintain joint health and reduces the risk of joint degeneration.
a. Female gender is a non-modifiable risk factor for osteoarthritis.
b. Joint injury is a risk factor, especially in individuals with a history of joint trauma or repetitive use injuries. However, the scenario does not mention any joint injury.
d. Age over 60 years is a non-modifiable risk factor for osteoarthritis.
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