A nurse is reinforcing teaching with a client who has arthritis. Which of the following instructions should the nurse include in the teaching?
Use fingers to push off from the bed or chair.
Apply ice to the inflamed joint.
Sleep on a soft mattress.
Engage in low-impact aerobic exercises.
The Correct Answer is D
Choice A Reason:
Using fingers to push off from the bed or chair can strain the finger joints and worsen arthritis pain.
Choice B Reason:
Applying ice to an inflamed joint can provide temporary relief from inflammation and pain but is typically recommended for short periods and not as a long-term solution.
Choice C Reason:
C. Sleeping on a soft mattress may not provide adequate support for individuals with arthritis and can lead to joint discomfort. A mattress with appropriate firmness is often recommended for joint support.
Choice D Reason:
Engage in low-impact aerobic exercises. When teaching a client with arthritis, it is essential to provide instructions that promote joint health and reduce pain. Engaging in low-impact aerobic exercises is a beneficial recommendation. These exercises, such as swimming or stationary biking, can help improve joint flexibility, reduce stiffness, and enhance overall joint function without placing excessive stress on the joints.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A Reason:
"I will no longer be able to eat nuts." While it's essential to be cautious about certain foods after a colostomy, avoiding nuts altogether may not be necessary. The client should discuss dietary restrictions with their healthcare provider or a registered dietitian.
Choice B Reason:
"I will empty the pouch every 2 to 3 hours." The frequency of pouch emptying can vary depending on the client's individual needs and the ostomy type. There's no fixed schedule for emptying the pouch, so this statement is not necessarily accurate.
Choice C Reason:
"I should expect my stool to be formed." The consistency of stool from a colostomy can vary depending on the location of the stoma and the type of colostomy. It may be formed or semi-formed, but it can also be more liquid or loose, depending on the circumstances. The client should
Choice D Reason:
"I will notify my doctor if the stoma starts to look purple." This statement reflects the client's awareness of the importance of monitoring the stoma's color and seeking medical attention if it appears discolored or compromised. A purple or dark-colored stoma can indicate inadequate blood supply, which is a concern that should be addressed promptly.
discuss stool consistency with their healthcare provider.
Correct Answer is B
Explanation
Choice A Reason:
Continuing to eat foods high in vitamin B12 is generally a good dietary choice, but it should be done in a way that minimizes irritation to the inflamed oral tissues. The client should choose foods that are soft and gentle on the mouth.
Choice B Reason:
Consume soft, bland foods is correct. When providing instructions to a client with stomatitis (inflammation of the mouth), it's important to recommend a diet that is gentle on the irritated oral tissues. Consuming soft, bland foods can help minimize further irritation and discomfort. Examples of suitable foods may include mashed potatoes, yogurt, oatmeal, applesauce, and other similar items that are easy to chew and swallow.
Choice C Reason:
Using lemon glycerin swabs is not recommended for clients with stomatitis. Lemon can be acidic and may further irritate the mouth. Glycerin swabs alone may be used for oral care, but the lemon component should be avoided.
Choice D Reason:
Rinsing the mouth with an alcohol-based mouthwash is not advisable for clients with stomatitis. Alcohol-based mouthwashes can be harsh and may exacerbate the irritation and pain associated with stomatitis. Clients should be encouraged to use non-alcoholic, mild oral rinses or saline rinses as recommended by their healthcare provider.
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