Which of the following instructions should the nurse include in the education of a client with osteoarthritis?
"Take frequent breaks during activities to rest your affected joints."
"Avoid using assistive devices to prevent dependency on them."
"Perform high-impact exercises regularly to strengthen your joints."
"Apply a heating pad for at least 1 hour to alleviate joint pain."
The Correct Answer is A
Instructing the client to take frequent breaks during activities to rest the affected joints helps reduce stress and prevent worsening of symptoms. Avoiding the use of assistive devices can lead to increased joint strain and pain, so it is essential to encourage their appropriate use. Performing high-impact exercises is not recommended, as they can worsen joint pain and damage. Applying a heating pad for an extended period is not advisable, as it can cause burns and skin irritation.
b. "Avoid using assistive devices to prevent dependency on them." Encouraging the appropriate use of assistive devices is important for clients with osteoarthritis to reduce joint stress during daily activities.
c. "Perform high-impact exercises regularly to strengthen your joints." High-impact exercises can exacerbate joint pain and damage in clients with osteoarthritis. Low-impact exercises are recommended instead.
d. "Apply a heating pad for at least 1 hour to alleviate joint pain." Applying a heating pad for an extended period can cause burns and skin irritation. Using a heating pad for short intervals is appropriate for pain relief.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Lack of physical activity is not present in this client, as they engage in regular physical activity. However, the other risk factors are present. Age over 60 years and family history of osteoarthritis are non-modifiable risk factors, while joint injury is a risk factor associated with joint trauma or repetitive use injuries.
a. Age over 60 years is a non-modifiable risk factor for osteoarthritis.
b. Family history of osteoarthritis is a risk factor for the condition.
d. Joint injury is a risk factor associated with joint trauma or repetitive use injuries. The scenario does not provide information about any joint injury in this client.
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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