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 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.
Correct Answer is C
Explanation
X-ray of the joint is the most appropriate diagnostic test to evaluate for osteoarthritis. X-ray can show joint space narrowing, osteophyte formation, and changes in bone density, which are typical findings in osteoarthritis. A complete blood count (CBC) and rheumatoid factor (RF) blood test are used to assess for inflammation and autoimmune markers, respectively, which are more indicative of inflammatory arthritis conditions like rheumatoid arthritis, not osteoarthritis. Synovial fluid analysis is usually performed to assess for infection or inflammation in the joint and may not be as helpful in diagnosing osteoarthritis.
a. A complete blood count (CBC) is used to assess for general health and detect various conditions, but it is not specific to osteoarthritis.
b. A rheumatoid factor (RF) blood test is used to diagnose inflammatory arthritis conditions like rheumatoid arthritis, not osteoarthritis.
d. Synovial fluid analysis is usually performed to assess for infection or inflammation in the joint, but it may not provide definitive evidence of osteoarthritis.
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