A 65-year-old patient with a history of osteoarthritis reports increased pain and stiffness in the knees, particularly in the morning and after prolonged inactivity. Which intervention is most appropriate to recommend to this patient to help alleviate these symptoms?

Initiate high-intensity weight-bearing exercises.

Increase dietary intake of calcium and vitamin D supplements.

Avoid all physical activity to prevent further joint damage.

Apply heat therapy to the affected joints before engaging in physical activity.

Answer and Explanation

The Correct Answer is D

A.   High-intensity weight-bearing exercises can exacerbate pain in patients with osteoarthritis and is not appropriate for alleviating knee stiffness.
B.   Calcium and vitamin D supplementation is important for bone health, but it will not directly address the pain and stiffness associated with osteoarthritis.
C.   Avoiding physical activity is not recommended for osteoarthritis; instead, moderate exercise can help improve joint function.
D.   Applying heat therapy to the affected joints before engaging in physical activity is an effective method for alleviating stiffness and promoting mobility. Heat helps relax muscles and improve blood flow to the affected area.

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Correct Answer is C

Explanation

A. Airway obstruction in asthma is not caused by thinning mucus. It is primarily due to bronchospasm, inflammation, and thickening of the mucus.
B. Decreased mucus production does not contribute to airway constriction in asthma. In fact, excessive mucus production is a key feature of asthma, leading to obstruction of the airways.
C. Bronchospasm in asthma involves inflammation, edema, and excess mucus production. These factors cause narrowing of the airways, leading to difficulty breathing.
D. Inflammation leads to airway narrowing, but it does not reduce the airway diameter in the sense of preventing bronchospasm. Bronchospasm occurs as a result of inflammation and muscle contraction.

A. Furosemide B. Metoprolol C. Natalizumab D. Pregabalin

Correct Answer is C

Explanation

A. Furosemide is a diuretic and is not associated with PML.
B. Metoprolol is a beta-blocker and does not cause PML.
C. Natalizumab is an immunosuppressant used for multiple sclerosis and has been linked to the development of PML, a serious brain infection.
D. Pregabalin is used for neuropathic pain and does not carry a risk for PML.

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A 65-year-old patient with a history of osteoarthritis reports increased pain and stiffness in the knees, particularly in the morning and after prolonged inactivity. Which intervention is most appropriate to recommend to this patient to help alleviate these symptoms?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with asthma. Which of the following happens physiologically when bronchospasm occurs?

Correct Answer is C

Explanation

A nurse is caring for a client who has multiple sclerosis and is experiencing progressive multifocal leukoencephalopathy (PML). Which of the following medications should the nurse recognize is associated with the development of PML?

Correct Answer is C

Explanation

A 23-year-old patient is diagnosed with myoclonic seizures. Which of the following characteristics is most indicative of this type of seizure?

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