Which of the following clients is at a higher risk of developing osteoarthritis?

A client who has hypertension and is taking amlodipine

A client who has COPD and has been on frequent courses of prednisone

A client with atrial fibrillation who is taking warfarin

A client who is Caucasian and has had multiple child

Answer and Explanation

The Correct Answer is B

A.   Amlodipine is a calcium channel blocker used to manage hypertension. It is not associated with an increased risk of osteoarthritis. While hypertension itself is a health concern, amlodipine does not directly contribute to the development of OA.
B.   Prednisone is a corticosteroid that can lead to various side effects, including bone loss and osteoporosis with long-term use. Although osteoporosis and OA are different conditions, long-term use of corticosteroids can potentially increase the risk of joint issues and contribute to the development or exacerbation of OA due to the impact on joint cartilage and bone density.
C.   Warfarin is an anticoagulant used to prevent blood clots in atrial fibrillation. It is not directly associated with an increased risk of osteoarthritis. The primary concerns with warfarin involve bleeding risks rather than joint health.
D.   Being Caucasian and having multiple children do not directly contribute to an increased risk of osteoarthritis.

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Correct Answer is A

Explanation

A. Radiofrequency catheter ablation involves the use of electrical energy (radiofrequency energy) delivered through a catheter to destroy or ablate the areas of the heart tissue responsible for the abnormal electrical signals causing atrial flutter. This destruction of tissue helps to interrupt the abnormal electrical pathways and restore normal rhythm.
B. The procedure for atrial flutter ablation does not use cold therapy. Instead, it uses radiofrequency energy (heat) to ablate the tissue. Cold therapy, or cryoablation, is a different technique that uses extreme cold to achieve similar effects but is not the standard approach for radiofrequency catheter ablation.
C. Radiofrequency catheter ablation does not involve removing clots. The primary purpose of the procedure is to ablate abnormal tissue causing arrhythmias, not to address clots. Managing clots may involve anticoagulant therapy or other treatments, but it is not the focus of ablation.
D. Radiofrequency catheter ablation does not stimulate the growth of new conduction pathways. Instead, it aims to destroy the abnormal conduction pathways responsible for arrhythmias.

A. "A primary goal when caring for clients who have a chronic illness is to cure them of the condition." B. "Clients with chronic illness may have to dedicate a lot of time to managing their disease." C. "Individuals with the same chronic illness may experience a completely different trajectory of the illness." D. "The client and caregiver should be educated on the prescribed treatment plan."

Correct Answer is A

Explanation

A. This statement is incorrect because many chronic illnesses are not curable. The goal of care for chronic illnesses is often to manage the condition, improve quality of life, and prevent complications, rather than achieving a complete cure.
B. This statement is accurate. Managing a chronic illness often requires significant time and effort, including medication adherence, lifestyle changes, and regular medical appointments.
C. The trajectory of a chronic illness can vary greatly between individuals, even those with the same condition. Factors such as genetics, lifestyle, and access to care can influence the course of the illness.
D. This statement is accurate. Educating the client and caregiver about the prescribed treatment plan is essential for optimal management of chronic illnesses. This includes understanding medication dosages, side effects, and lifestyle modifications.

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Which of the following clients is at a higher risk of developing osteoarthritis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which information will the nurse include when teaching a patient who is scheduled for a radiofrequency catheter ablation for treatment of atrial flutter?

Correct Answer is A

Explanation

A nurse educator who leads a residency program for new nurses is educating the new nurses on the trajectory of chronic illness. The nurse recognizes a need for further teaching when one of the new nurses states which of the following?

Correct Answer is A

Explanation

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