A nurse is providing teaching about nonpharmacological pain management to a client who has osteoarthritis. Which of the following Instructions should the nurse include in the teaching?
Take a hot shower every day.
Place a large pillow under the knees when sleeping.
Limit dietary intake of phosphorus.
Place an ice pack directly on the skin of the affected joints.
The Correct Answer is A
A: Warm showers can help relieve stiffness and pain associated with osteoarthritis by improving circulation and relaxing muscles.
B: Placing a large pillow under the knees can actually exacerbate joint stiffness and pain in osteoarthritis by forcing the knee into a bent position.
C: There is no specific recommendation to limit dietary phosphorus for osteoarthritis pain management.
D: Placing an ice pack directly on the skin can cause frostbite and damage to the skin; it should be wrapped in a cloth first.
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Related Questions
Correct Answer is B
Explanation
A. A towel on the floor outside of the shower could be a tripping hazard.
B. This prevents slipping and falls, which is crucial for someone recovering from knee surgery.
C. Slippers with non-slip soles would be a safer choice to prevent falls.
D. While handrails are helpful for mobility and safety, this recommendation does not address the immediate postoperative care needs of the client following knee surgery.

Correct Answer is D
Explanation
A. Adding medication directly to enteral feeding can cause clogging of the tube and interfere with medication absorption.
B. Flushing with only 5 mL of water is insufficient. Typically, the tube should be flushed with 15-30 mL of water before and after administering each medication to ensure the tube is clear and to prevent clogging.
C. Dissolving medications together may lead to drug interactions or alterations in drug absorption and should be avoided.
D. Using a syringe to allow the medications to flow by gravity ensures that the medications are delivered safely and steadily. After each medication is administered, the tube should be flushed with water to ensure it is clear and to prevent interactions between different medications.
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