A nurse is caring for a client who is experiencing pain related to osteoarthritis in the right hip. Which of the following non-pharmacological interventions should the nurse provide to relieve the client's pain?

Teach the client to use compression stockings.

Place a moist heating pad over the affected area.

Avoid platelet-rich plasma therapy.

Encourage the client to use crutches to ambulate.

Answer and Explanation

The Correct Answer is B

A. Teach the client to use compression stockings: Compression stockings are primarily used to prevent venous thromboembolism and edema, not to relieve osteoarthritis pain. They do not address joint stiffness or muscle discomfort associated with osteoarthritis.

B. Place a moist heating pad over the affected area: Heat therapy helps relax muscles, increase blood flow, and reduce joint stiffness, providing effective non-pharmacological pain relief for osteoarthritis. Moist heat is often preferred because it penetrates deeper into the tissues compared to dry heat.

C. Avoid platelet-rich plasma therapy: Platelet-rich plasma therapy is an invasive treatment option and is not considered a routine non-pharmacological intervention for osteoarthritis pain. Avoidance of this therapy is not a direct pain-relief strategy.

D. Encourage the client to use crutches to ambulate: Crutches are generally not indicated for osteoarthritis pain unless severe weight-bearing restrictions are needed. They do not actively relieve joint pain and may increase fatigue or strain in other areas.

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Correct Answer is B

Explanation

A. Position the client in a lithotomy position during the epidural procedure: Epidurals are typically administered with the client in a sitting position or lying on their side with the back arched (fetal position) to allow access to the lumbar spine. Lithotomy position is not used for epidural placement.

B. Monitor the client's bladder for distention: Epidural anesthesia can decrease bladder sensation and the ability to void, increasing the risk of urinary retention. Monitoring for bladder distention and assisting with catheterization if needed is an essential nursing action to prevent complications.

C. Administer oxygen to the client at 2 L/min via face mask: Oxygen is not routinely administered to clients receiving an epidural unless there is evidence of maternal hypoxia or fetal distress. Routine oxygen is not required and should be based on assessment findings.

D. Limit turning the client during labor: While care must be taken to maintain the epidural catheter, clients can still be repositioned to promote comfort and labor progression. Turning is not prohibited, but care should be taken to avoid dislodging the catheter.

A. "You should increase your daily fluid intake." B. "Headaches are expected throughout pregnancy." C. "You will feel your baby moving within the next month." D. "Hormone shifts often cause severe vomiting."

Correct Answer is A

Explanation

A. "You should increase your daily fluid intake.": Adequate hydration is important during early pregnancy to support maternal blood volume expansion, amniotic fluid production, and overall health. Increasing fluid intake can also help alleviate common symptoms such as constipation and mild nausea.

B. "Headaches are expected throughout pregnancy.": While mild headaches can occur, persistent or severe headaches are not considered normal and may indicate complications such as hypertension. Clients should be advised to report significant or recurrent headaches to their provider.

C. "You will feel your baby moving within the next month.": Fetal movement, or “quickening,” typically occurs between 16–20 weeks of gestation for primigravid clients, not at 9–10 weeks. Early reassurance should focus on expected developmental milestones for this stage.

D. "Hormone shifts often cause severe vomiting.": Mild nausea and vomiting are common in early pregnancy due to hormonal changes, but severe vomiting (hyperemesis gravidarum) is not expected and requires medical evaluation for hydration and nutritional management.

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A nurse is caring for a client who is experiencing pain related to osteoarthritis in the right hip. Which of the following non-pharmacological interventions should the nurse provide to relieve the client's pain?

Nursing Test Bank

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Correct Answer is B

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Correct Answer is A

Explanation

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