A 52-year-old woman with a BMI of 31 is diagnosed with osteoarthritis of the knee. The nurse practitioner (NP) instructs the woman that weight loss will help minimize both pain and functional loss. Which of the following most closely explains the NP's advice to lose weight?
Weight loss is encouraged for the overall health of the patient because it reduces the chance of developing diabetes and other cardiometabolic issues
Each pound of weight loss can decrease the load across the knee 3 to 6-fold
Weight loss can reduce cardiovascular strain
Weight loss can reduce the chance for a fall, which might lead to additional damage to the knee joint
The Correct Answer is B
Choice A reason: While true, this choice is a general health benefit and does not directly explain the reduction in knee pain or functional loss.
Choice B reason: This choice is correct because mechanical load on the knee joint increases disproportionately with body weight. Even a small amount of weight loss significantly reduces joint stress, thereby improving pain and function in osteoarthritis.
Choice C reason: Reducing cardiovascular strain is beneficial but does not directly impact knee joint load or osteoarthritis symptoms.
Choice D reason: Preventing falls is important but is an indirect benefit; the primary mechanism for pain reduction is decreased mechanical load on the joint.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: The AD8 is a brief informant interview used to detect early cognitive changes but does not specifically differentiate between LBD, PDD, and MCI due to Lewy body disease.
Choice B reason: The Mini-Cog is a screening tool for cognitive impairment but lacks specificity for Lewy body pathology.
Choice C reason: The Lewy Body Composite Risk Score is specifically designed to assess features that differentiate LBD, PDD, and MCI related to Lewy body disease from other dementias, making it the most appropriate tool.
Choice D reason: The Informant Questionnaire on Cognitive Decline in the Elderly assesses general cognitive decline but does not provide specificity for Lewy body disease subtypes.
Correct Answer is C
Explanation
Choice A reason: Diabetes mellitus is a metabolic disorder and is not a primary contributor to OA; congenital abnormalities alone are less commonly a major factor.
Choice B reason: While overuse and obesity contribute to OA, diabetes mellitus is not considered a key causal factor.
Choice C reason: OA risk increases with mechanical stress on joints, cumulative overuse, obesity that increases joint load, and aging-related degeneration of cartilage, making this the most accurate combination of contributing factors.
Choice D reason: Congenital abnormalities can predispose to OA in some cases, but aging is a far more common contributing factor overall.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
