Which of the following nursing considerations is essential for a client with osteoarthritis?
Encouraging high-impact exercises to improve joint flexibility.
Administering nonsteroidal anti-inflammatory drugs (NSAIDs) as needed for pain relief.
Promoting weight loss for clients with a body mass index (BMI) within the normal range.
Advising the client to avoid any form of physical activity to prevent further joint damage.
The Correct Answer is B
One of the main nursing considerations for a client with osteoarthritis is pain management. Nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly used to provide pain relief and reduce inflammation in individuals with osteoarthritis.
Incorrect responses:
a. Encouraging high-impact exercises is not recommended for clients with osteoarthritis. High-impact activities can cause additional stress on the affected joints and worsen the symptoms.
c. Promoting weight loss is important for overweight or obese clients with osteoarthritis to reduce joint stress. However, it is not applicable for clients with a BMI within the normal range.
d. Advising the client to avoid any form of physical activity is not recommended. Regular low-impact exercises, such as swimming or cycling, are beneficial for individuals with osteoarthritis.
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Correct Answer is D
Explanation
Excessive physical activity and joint overuse can contribute to the development of osteoarthritis. Repetitive use and mechanical stress on the joints can lead to cartilage degeneration over time.
a. Osteoarthritis is primarily a non-inflammatory condition. Chronic inflammation of the synovial membrane is more characteristic of other types of arthritis, such as rheumatoid arthritis.
b. Osteoarthritis is not related to hyperactivity of the immune system. It is not an autoimmune disease, and the immune system is not involved in its pathogenesis.
c. Collagen is an essential component of joint cartilage. A deficiency of collagen would weaken the cartilage and contribute to joint degeneration. However, osteoarthritis is not primarily caused by collagen deficiency.
Correct Answer is B
Explanation
Early morning joint stiffness lasting for around 1 hour is a common symptom of osteoarthritis. It is caused by the accumulation of synovial fluid in the affected joint during periods of inactivity.
a. Joint redness and warmth are characteristic of inflammatory joint conditions like rheumatoid arthritis, not osteoarthritis.
c. Symmetrical joint involvement is more typical of systemic autoimmune disorders such as rheumatoid arthritis, not osteoarthritis.
d. Rheumatoid nodules are a specific feature of rheumatoid arthritis, not osteoarthritis.
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