A nurse is caring for a 78-year-old obese client with a history of osteoarthritis. When planning the client's care, what goals should the nurse include?

Choice A reason: Pain management is an important goal for a client with osteoarthritis, but it is not the only one. The question asks for what goals the nurse should include, not what is the most essential or urgent goal.

Choice B reason: Improvement of joint mobility is a correct goal for a client with osteoarthritis, as it helps to prevent stiffness, contractures, and deformities of the affected joints. It also improves the client's function, quality of life, and independence.

Choice C reason: Client will recover from osteoarthritis within 6 months is not a realistic or attainable goal, as osteoarthritis is a chronic and progressive condition that has no cure. The nurse should focus on managing the symptoms and preventing complications, not on curing the disease.

Choice D reason: Weight loss promotion is a relevant goal for a client with osteoarthritis, especially if the client is obese, as it helps to reduce the stress and pressure on the weight-bearing joints. However, it is not a specific or measurable goal, as it does not indicate how much weight the client should lose or how the nurse will monitor the progress.

Choice E reason: The client will deny symptoms of osteoarthritis is not a desirable or appropriate goal, as it implies that the client is not honest or aware of their condition. The nurse should encourage the client to report any symptoms or changes in their joints, as it helps to assess the effectiveness of the treatment and to adjust the plan of care accordingly.

Choice A reason: This statement is incorrect and indicates the need for further education. Failure to rescue is not the ability of the nurse to save a client's life, but the inability or failure to do so. It is defined as the death of a hospitalized client who experienced a potentially preventable complication.

Choice B reason: This statement is correct and does not indicate the need for further education. Failure to rescue includes the failure of the nurse to report changes in a client's condition to the provider, which could delay the diagnosis and treatment of the complication.

Choice C reason: This statement is correct and does not indicate the need for further education. Failure to rescue is the failure to recognize a client's condition is deteriorating, which could lead to missed opportunities for intervention and prevention of adverse outcomes.

Choice D reason: This statement is correct and does not indicate the need for further education. Failure to rescue involves the lack of managing complications, which could result in increased morbidity and mortality.