A nurse is caring for a 78-year-old client with a history of osteoarthritis (OA). When planning the client's care, what goal should the nurse prioritize?
The client will express satisfaction with the ability to perform ADLs.
The client will adhere to the prescribed plan of care.
The client will recover from OA within 6 months.
The client will deny signs or symptoms of OA.
The Correct Answer is A
Choice A rationale
Expressing satisfaction with the ability to perform Activities of Daily Living (ADLs) is a realistic and client-centered goal for managing osteoarthritis. It focuses on the client's quality of life and functional ability, which is essential in chronic conditions like OA.
Choice B rationale
Adhering to the prescribed plan of care is important for managing OA, but it is more of an ongoing process than a specific goal. The focus should be on the client's functional outcomes and overall well-being.
Choice C rationale
Osteoarthritis is a chronic condition that cannot be cured within six months. Recovery in the context of OA usually refers to managing symptoms and improving quality of life rather than a complete resolution of the disease.
Choice D rationale
Denying signs or symptoms of OA is unrealistic for a chronic condition. The goal should be managing symptoms effectively and maintaining functional ability rather than complete absence of symptoms.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Interactive dressings are designed to interact with the wound environment to promote healing. These can include dressings that release medication or create an optimal moisture balance. They are not typically used for acutely inflamed and oozing skin lesions.
Choice B rationale
Passive dressings are protective covers that keep the wound clean and protected from external contaminants. They do not have additional properties to manage wound exudate or inflammation.
Choice C rationale
Protective dressings are generally used to shield wounds from further injury or contamination. They do not specifically address the needs of an oozing and inflamed lesion.
Choice D rationale
Occlusive dressings are designed to maintain a moist wound environment, which can aid in the healing of oozing wounds. They can also provide a barrier to external contaminants and help manage exudate effectively, making them suitable for acutely inflamed and oozing lesions.
Correct Answer is B
Explanation
Choice A rationale
Hematoma formation is the initial stage of fracture healing, where a blood clot forms around the fracture site, creating a foundation for subsequent healing phases.
Choice B rationale
Remodeling is the final phase of bone healing, where compact bone replaces spongy bone, restoring the bone's structure and function.
Choice C rationale
Bony callus formation involves the development of new bone (callus) around the fracture site, which eventually transitions to compact bone during remodeling.
Choice D rationale
Fibrocartilaginous callus formation is an earlier stage of fracture healing, characterized by the formation of a soft callus made of collagen and cartilage that stabilizes the fracture.
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