A 59-year-old woman diagnosed with moderate osteoarthritis (OA) of the right knee asks the nurse practitioner about her treatment options. Which of the following is NOT considered an option for a patient with moderate OA of the knee?
Physical therapy
Corticosteroid injection for the knee
Partial or total knee replacement
Hyaluronic acid injection
The Correct Answer is D
Choice A reason: Physical therapy is a first-line, noninvasive option for managing OA symptoms.
Choice B reason: Corticosteroid injections can reduce pain and inflammation for moderate OA, making this an appropriate treatment option.
Choice C reason: Partial or total knee replacement may be considered for patients with progressive symptoms not responding to conservative measures.
Choice D reason: Hyaluronic acid injections are not routinely recommended for moderate OA due to limited evidence of efficacy, making this option incorrect in standard care recommendations.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: A score of 20 on the STAI is within the lower range, indicating minimal symptoms of anxiety. This suggests that the patient experiences occasional worry but it does not significantly interfere with her functioning.
Choice B reason: Minor anxiety generally refers to slightly higher scores than 20, where anxiety is noticeable but manageable without substantial impairment. The STAI scoring system places a score of 20 below this threshold.
Choice C reason: Moderate anxiety involves more consistent symptoms, including physiological arousal and difficulty concentrating, which would correspond to a higher STAI score than 20.
Choice D reason: Severe anxiety represents intense and persistent anxiety with marked functional impairment, usually reflected in much higher STAI scores than 20.
Correct Answer is D
Explanation
Choice A reason: Egg whites and soy milk contain minimal heme iron and coffee can inhibit iron absorption, making this plan insufficient for iron repletion.
Choice B reason: While pork contains some heme iron, the meal lacks variety and plant sources rich in iron, and desserts do not contribute significant iron.
Choice C reason: Chicken salad provides limited heme iron and potato salad is low in iron; overall, the meal does not adequately support iron repletion.
Choice D reason: This meal includes both heme iron (steak) and non-heme iron (spinach, beans, raisins, apricots), and vitamin C from fruits enhances absorption, reflecting proper dietary understanding for iron deficiency anemia.
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