A nurse is talking about joint protection strategies with an older adult client who has osteoarthritis. Which of the following recommendations should the nurse reinforce?

Jog or run three times a week.

Choose soft, pillowed chairs for sitting.

Maintain the recommended body weight.

Reduce the amount of purine in the diet.

Answer and Explanation

The Correct Answer is C

A. Jog or run three times a week.

This option is not a recommended joint protection strategy for osteoarthritis. High-impact activities like jogging or running can potentially exacerbate symptoms and increase stress on weight-bearing joints.

B. Choose soft, pillowed chairs for sitting.

While comfortable seating is important for general comfort, it is not a specific joint protection strategy for osteoarthritis. The emphasis for osteoarthritis management is on maintaining joint function through appropriate exercise and weight management.

C. Maintain the recommended body weight.

This is the correct choice. Maintaining the recommended body weight is a crucial joint protection strategy for individuals with osteoarthritis, as excess body weight can contribute to increased stress on weight-bearing joints, leading to worsened symptoms.

D. Reduce the amount of purine in the diet.

This recommendation is more relevant for conditions like gout, which is characterized by the deposition of uric acid crystals in joints. It is not a specific joint protection strategy for osteoarthritis.

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Correct Answer is C

Explanation

A. “Turn each of your hands and forearms so your palm is facing down.”

This describes pronation, not supination. In pronation, the palm faces down, and the radius crosses over the ulna.

B. “Take each of your hands and touch your shoulders.”

This describes flexion at the elbow joint, not supination. Flexion involves decreasing the angle between body parts.

C. “Turn each of your hands and forearms so your palm is facing up.”

This is the correct choice. Supination involves turning the hands and forearms so that the palms face up, and the radius and ulna are parallel.

D. “Move each of your arms to rest at your sides.”

This describes adduction, bringing the arms back to the sides of the body, not supination.

A. Use a blow dryer on a moderate heat setting to dry the cast after showering. B. Use a cotton swab to relieve itching under the cast C. Report any worsening or unrelieved pain. D. Avoid moving the affected leg.

Correct Answer is C

Explanation

A. Use a blow dryer on a moderate heat setting to dry the cast after showering.

This is not recommended as using a blow dryer on a cast can cause burns. Instead, the cast should be allowed to air-dry or be dried with a fan.

B. Use a cotton swab to relieve itching under the cast.

Inserting objects, including cotton swabs, under the cast can lead to complications such as infection or skin damage. It is not recommended to insert anything into the cast.

C. Report any worsening or unrelieved pain.

This is the correct instruction. Persistent or increasing pain can indicate complications such as swelling, infection, or neurovascular compromise. It is important for the client to promptly report any changes in pain to healthcare providers.

D. Avoid moving the affected leg.

While it's important to limit movement to allow for proper healing, complete immobilization can lead to joint stiffness and muscle atrophy. Gentle range-of-motion exercises for non-weight-bearing areas may be encouraged, but any specific movement instructions should be provided by the healthcare provider. If movement causes significant pain or discomfort, the client should consult the healthcare provider.

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A nurse is talking about joint protection strategies with an older adult client who has osteoarthritis. Which of the following recommendations should the nurse reinforce?

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