A nurse is reinforcing discharge teaching with a client who has osteoarthritis. Which of the following statements by the client indicates an understanding of the teaching?
Osteoarthritis is caused by inflammation that affects both joints and other body tissues.
Osteoarthritis occurs due to the aging process and results in disintegration of cartilage in a joint.
Osteoarthritis is due to loss of calcium in the bones, which can lead to increased risk for bone fractures.
Osteoarthritis happens in several phases when deposits of crystals develop in joints and soft tissues.
The Correct Answer is B
Choice A rationale
Osteoarthritis is caused by inflammation that affects both joints and other body tissues is incorrect. This description is more characteristic of rheumatoid arthritis, which is an autoimmune disease that causes systemic inflammation.
Choice B rationale
Osteoarthritis occurs due to the aging process and results in disintegration of cartilage in a joint is correct. Osteoarthritis is a degenerative joint disease that primarily affects the cartilage, leading to its breakdown over time.
Choice C rationale
Osteoarthritis is due to loss of calcium in the bones, which can lead to increased risk for bone fractures is incorrect. This description is more characteristic of osteoporosis, a condition that weakens bones and makes them more prone to fractures.
Choice D rationale
Osteoarthritis happens in several phases when deposits of crystals develop in joints and soft tissues is incorrect. This description is more characteristic of gout, a type of arthritis caused by the deposition of urate crystals in the joints.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Increased urine ketones are more commonly associated with diabetic ketoacidosis (DKA) rather than fluid volume deficit. DKA involves the breakdown of fat for energy, leading to ketone production.
Choice B rationale
Increased urine specific gravity is an expected finding in fluid volume deficit. It indicates concentrated urine due to decreased fluid intake or excessive fluid loss.
Choice C rationale
Decreased hematocrit is not typically associated with fluid volume deficit. In fact, hematocrit levels may be elevated due to hemoconcentration when there is a significant loss of fluid.
Choice D rationale
Decreased urine output is a common sign of fluid volume deficit. The body conserves water by reducing urine production to maintain fluid balance.
Correct Answer is B
Explanation
Choice A rationale
Monitoring intake and output is important but not the first priority. The immediate concern is to address the client’s pain.
Choice B rationale
Administering pain medication is the first priority. Managing the client’s pain will help alleviate discomfort and allow for further assessment and treatment.
Choice C rationale
Ambulating in the hall is not appropriate for a client experiencing flank pain and nausea. It could exacerbate the symptoms.
Choice D rationale
Straining the urine is important for identifying any stones, but it is not the first priority. Pain management should be addressed first.
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