A nurse is contributing to the plan of care for clients who have rheumatoid arthritis. Which of the following plans incorporates integrative health?

Provide massage therapy and corticosteroid medications to clients.

Monitor C-reactive protein and joint x-rays on clients.

Offer nonsteroidal anti-inflammatory medications and occupational therapy to clients.

Request a referral for surgery and physical therapy for clients.

Answer and Explanation

The Correct Answer is A

A.   This plan incorporates both a complementary therapy (massage therapy) and a conventional treatment (corticosteroid medications). This combination aligns well with integrative health principles, as it aims to manage pain and improve well-being through both physical and pharmacological means.
B.   This option focuses solely on conventional medical assessments. While monitoring these parameters is essential for managing rheumatoid arthritis, it does not incorporate any complementary or integrative health strategies. It is more about evaluating the disease process than addressing holistic care.
C.   This option combines conventional medication with occupational therapy, which can be considered a supportive, rehabilitative approach. However, it does not include complementary therapies, which are often a key component of integrative health practices.
D.   This plan emphasizes surgical and physical therapy interventions, which are conventional treatments. While physical therapy can be beneficial, this option does not include complementary therapies, making it less aligned with integrative health principles.

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Correct Answer is C

Explanation

A. Using hot water is not recommended as it can cause skin irritation or burns, especially in vulnerable populations such as those with urinary incontinence. Warm or lukewarm water is more appropriate for cleaning sensitive skin.
B. Applying cornstarch can sometimes be used to absorb moisture and reduce friction; however, it is not the first-line recommendation. It may also promote yeast growth in the presence of moisture, so it should be used with caution.
C. Using a pH-balanced cleanser helps maintain the natural acidity of the skin, which is important for skin integrity and preventing irritation. This type of cleanser is less likely to disrupt the skin's barrier, reducing the risk of skin breakdown and infection.
D. While air-drying can be beneficial in some cases, it is generally not the best practice after cleaning. Gently patting the skin dry with a soft towel is usually recommended to avoid irritation. Allowing skin to remain damp can increase the risk of skin breakdown.

A. To avoid putting pressure on the client's stronger leg B. To ensure proper positioning of the hands on the walker C. To provide support for the client's weight while moving their weaker leg D. To maintain the client's center of gravity close to the body

Correct Answer is C

Explanation

A. The goal is not to avoid pressure on the stronger leg; rather, the walker is used to assist with balance and support for both legs. The client typically puts weight on both legs when using the walker, especially when moving it forward.
B. While proper hand positioning is important for stability, the specific instruction to move the walker forward 6 to 8 inches is primarily focused on facilitating safe movement and balance, rather than just ensuring hand positioning. Therefore, this is not the main purpose.
C. Moving the walker forward provides a stable base of support before the client steps forward with their weaker leg. This technique allows the client to safely shift their weight onto the walker, minimizing the risk of falls and ensuring adequate support during ambulation.
D. While maintaining the center of gravity is important for balance, the specific instruction to move the walker forward 6 to 8 inches is primarily about creating a safe distance to support the client’s weight. This action does help with balance, but it’s not the primary reason for that specific movement.

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A nurse is contributing to the plan of care for clients who have rheumatoid arthritis. Which of the following plans incorporates integrative health?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has urinary incontinence. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

What is the purpose of instructing the client to move the walker forward 6 to 8 inches, setting it down with all four feet on the floor when ambulating?

Correct Answer is C

Explanation

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A nurse is assisting with teaching a newly licensed nurse about pain. Which of the following is an example of acute pain?

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