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
X-ray is the most commonly used diagnostic test to confirm the diagnosis of osteoarthritis. It can show joint space narrowing, osteophyte formation (bony overgrowths), and other changes characteristic of osteoarthritis. Rheumatoid factor (RF) and antinuclear antibody (ANA) blood tests are used to diagnose autoimmune conditions like rheumatoid arthritis, not osteoarthritis. Magnetic resonance imaging (MRI) can provide more detailed images of joint structures, but X-ray is typically the initial diagnostic test for osteoarthritis.
a. Rheumatoid factor (RF) blood test is used to diagnose rheumatoid arthritis, not osteoarthritis.
b. Antinuclear antibody (ANA) blood test is used to diagnose autoimmune disorders such as systemic lupus erythematosus (SLE), not osteoarthritis.
c. Magnetic resonance imaging (MRI) can be helpful in assessing joint structures in more detail, but X-ray is the primary diagnostic test for osteoarthritis.
Correct Answer is D
Explanation
Joint protection techniques are an essential component of patient education for clients with osteoarthritis. These techniques help clients reduce stress on their affected joints and manage pain during daily activities. Encouraging frequent high-impact exercises can worsen joint pain and damage in osteoarthritis. Advising the client to avoid all physical activity is not recommended, as regular low-impact exercises are beneficial for joint health. Using a cold pack daily can provide temporary relief from pain and inflammation, but it is not the primary focus of patient education for osteoarthritis.
a. Encouraging frequent high-impact exercises can exacerbate joint pain and damage in clients with osteoarthritis. Low-impact exercises are recommended instead.
b. Advising the client to avoid all physical activity is not recommended. Regular low-impact exercises, such as swimming or walking, are beneficial for joint health in osteoarthritis.
c. Using a cold pack daily can provide temporary relief from pain and inflammation, but it is not the primary focus of patient education for osteoarthritis.
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