A nurse is reinforcing teaching with a client who has osteoarthritis. Which of the following information should the nurse include in the teaching?

Apply a heat pack with a temperature below body temperature.

Elevate the affected joint on large pillows

Take acetaminophen as the primary medication to treat the pain

Decrease foods high in purines

Answer and Explanation

The Correct Answer is A

A.   Heat application can help relieve pain and stiffness associated with osteoarthritis.
However, it is important to use a heat pack with a temperature below body temperature to avoid skin burns.
B.   Elevation is generally more relevant for conditions involving swelling, and it may not be the primary recommendation for osteoarthritis.
C.   Acetaminophen is a common pain reliever, but other medications such as nonsteroidal anti-inflammatory drugs (NSAIDs) may also be used for osteoarthritis pain management.
D.   Decreasing foods high in purines is more relevant for conditions like gout, which is not typically associated with osteoarthritis.

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Correct Answer is D

Explanation

A. The duration of time in the bathtub should be based on the client's tolerance but should not exceed 20 minutes.
B. Water temperature should be warm but not excessively hot to avoid burns or discomfort.
C. Bath oils can make the bathtub slippery and increase the risk of falls. They should be avoided.
D. Providing non-slip bath strips enhances safety and helps prevent the client from slipping in the bathtub.

A. Instruct client to use an incentive spirometer every 4 hr. B. Place the client in a room with negative-pressure airflow. C. Serve cooked fruit with meals. D. Report temperatures greater than 39.5 C (102.3 F lasting more than 4 hr.)

Correct Answer is D

Explanation

A. The use of an incentive spirometer is more relevant for preventing respiratory complications, not related to the client's low WBC count.
B. Negative-pressure airflow rooms are typically used for clients with airborne infections, not those with low WBC counts.
C. Cooked fruits may be advisable to reduce the risk of bacterial contamination in immunosuppressed clients, but it does not directly address the low WBC count.
D. Reporting temperatures greater than 39.5°C (102.3°F) lasting more than 4 hours is crucial as it may indicate an infection, and prompt intervention is needed in immunosuppressed clients.

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A nurse is reinforcing teaching with a client who has osteoarthritis. Which of the following information should the nurse include in the teaching?

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