A client with osteoarthritis presents with joint pain that worsens with weight-bearing activities and improves with rest. Which of the following clinical manifestations is described?
Nocturnal joint pain
Morning joint stiffness lasting for 1 hour
Pain relief with activity
Joint pain that is constant throughout the day
Joint pain that is constant throughout the day
The Correct Answer is C
Pain that worsens with weight-bearing activities and improves with rest is a classic clinical manifestation of osteoarthritis. Activity-related pain is due to the increased stress on the affected joint during movement, while rest allows for decreased pressure and relief of pain.
a. Nocturnal joint pain is more typical of inflammatory arthritis conditions like rheumatoid arthritis, not osteoarthritis.
b. Morning joint stiffness lasting for 1 hour is characteristic of inflammatory arthritis conditions like rheumatoid arthritis, not osteoarthritis.
d. Joint pain that is constant throughout the day may be seen in various joint disorders, but the pattern of pain relief with activity is more indicative of osteoarthritis.
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Correct Answer is C
Explanation
Heberden's nodes are bony enlargements that occur at the distal interphalangeal (DIP) joints of the fingers and are a characteristic finding in osteoarthritis. Warm, swollen, and tender joints are typical of inflammatory arthritis conditions like rheumatoid arthritis, not osteoarthritis. Symmetrical joint involvement is more common in systemic autoimmune disorders such as rheumatoid arthritis, not osteoarthritis. A positive Babinski reflex is a neurological finding and is not related to the diagnosis of osteoarthritis.
a. Warm, swollen, and tender joints are typical of inflammatory arthritis conditions like rheumatoid arthritis, not osteoarthritis.
b. Symmetrical joint involvement is more common in systemic autoimmune disorders such as rheumatoid arthritis, not osteoarthritis.
d. A positive Babinski reflex is a neurological finding and is not related to the diagnosis of osteoarthritis.
Correct Answer is B
Explanation
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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