A client with secondary OA of the hip reports pain worsening over several years after a car accident. What is the priority nursing assessment?
Ability to perform ADLS
History of trauma
Daily exercise routine
Family history of osteoarthritis
The Correct Answer is A
A. Ability to perform ADLs: Assessing the client’s ability to perform activities of daily living (ADLs) is the priority because osteoarthritis directly impacts functional mobility and quality of life. Pain and joint degeneration can limit self-care, and evaluating this helps guide immediate nursing interventions and care planning.
B. History of trauma: A history of trauma is relevant for understanding the etiology of secondary osteoarthritis, but it does not provide current information about the client’s functional status or immediate care needs.
C. Daily exercise routine: Exercise habits are important for managing joint health and pain, but they are secondary to assessing current functional limitations. This information helps with planning long-term interventions rather than addressing immediate priorities.
D. Family history of osteoarthritis: Family history may indicate genetic predisposition to OA, but it does not influence the client’s current functional limitations or immediate nursing priorities.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Epigastric discomfort: Epigastric pain is a common symptom of peptic ulcer disease and can usually be managed with medication and lifestyle modifications. While important, it is not immediately life-threatening.
B. Dyspepsia: Dyspepsia, or indigestion, is a chronic symptom associated with ulcer disease. It causes discomfort but does not indicate an acute or emergent complication.
C. Constipation: Constipation may occur due to medications or diet, but it is not directly related to peptic ulcer disease and is not a priority finding.
D. Hematemesis: Vomiting blood indicates active gastrointestinal bleeding, which is a potentially life-threatening complication of peptic ulcer disease. Immediate assessment and intervention are required to prevent shock and further complications, making this the priority finding.
Correct Answer is D
Explanation
A. "Store the medication in the bathroom medicine cabinet.": Levothyroxine should be stored in a cool, dry place away from moisture and heat. Bathrooms are typically humid environments, which can degrade the medication, making this advice unsafe.
B. "You may stop the medication once your symptoms improve.": Levothyroxine is a lifelong therapy for most patients with hypothyroidism. Abrupt discontinuation can lead to recurrence of symptoms and potentially severe hypothyroid complications. Patients should not stop the medication without provider guidance.
C. "Take the medication with milk to reduce stomach upset.": Calcium and certain minerals in milk can interfere with levothyroxine absorption. The medication should be taken on an empty stomach with water, typically 30–60 minutes before food, to ensure effectiveness.
D. "Notify the provider if you experience chest pain or palpitations.": Levothyroxine increases metabolic rate and can precipitate tachycardia, palpitations, or angina if the dose is excessive. Mon
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