What nursing intervention is crucial to preventing skin breakdown in a client with osteoarthritis?
Providing a firm mattress and avoiding the use of pressure-relieving devices.
Encouraging the client to sit or lie in one position for extended periods.
Inspecting the client's skin regularly for signs of redness or irritation.
Applying lotion with a high alcohol content to keep the skin dry.
The Correct Answer is C
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.
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Related Questions
Correct Answer is B
Explanation
Osteoarthritis is characterized by the breakdown of articular cartilage and changes in the underlying bone. It primarily affects the joint structures, leading to pain, stiffness, and loss of joint function.
a. The synovial membrane and tendons are involved in other joint diseases such as rheumatoid arthritis and tendinitis, not osteoarthritis.
c. Ligaments and bursae are important for joint stability and movement, but they are not primarily affected in osteoarthritis.
d. Muscles and nerves can be affected indirectly due to joint changes in osteoarthritis, but they are not the primary structures involved in the disease process.
Correct Answer is D
Explanation
Crepitus, a crackling or grating sensation during joint movement, is a common clinical manifestation of osteoarthritis. It occurs due to the irregular surfaces of the joint caused by cartilage degeneration.
a. Warm and swollen joints are characteristic of inflammatory arthritis conditions like rheumatoid arthritis, not osteoarthritis.
b. Morning joint stiffness lasting for several hours is typical of inflammatory arthritis conditions like rheumatoid arthritis, not osteoarthritis.
c. Red, hot, and tender joints are signs of inflammation and are more commonly seen in inflammatory arthritis conditions, not osteoarthritis.
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