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. Xerostomia

Xerostomia is dry mouth, a condition where the salivary glands do not produce enough saliva. It can have various causes, including medications, medical conditions, or dehydration. Xerostomia is not directly related to teeth grinding.

B. Halitosis

Halitosis is bad breath. While dental issues, including bruxism (teeth grinding), can contribute to bad breath, halitosis itself does not specifically describe teeth grinding.

C. Bruxism

Bruxism is the medical term for teeth grinding or clenching, especially during sleep. If a client suspects or reports grinding their teeth at night, it is appropriate to document and discuss the issue as bruxism. Bruxism can lead to dental problems, jaw pain, and headaches.

D. Sordes

Sordes refers to a collection of foul matter, such as debris or crusted material, around the mouth. It is not related to teeth grinding.

A. Rub the client’s feet briskly for several minutes. B. Obtain a pair of slipper socks for the client. C. Increase the client’s oral fluid intake. D. Place a moist heating pad under the client’s feet.

Correct Answer is B

Explanation

A. Rub the client’s feet briskly for several minutes.

Rubbing the feet briskly may not be appropriate for a client with vascular occlusion. Vigorous rubbing could potentially cause damage to already compromised blood vessels, and the increased friction may not be well-tolerated.

B. Obtain a pair of slipper socks for the client.

Providing slipper socks is a non-invasive and appropriate measure to help keep the client's feet warm. Slipper socks can offer comfort without the need for vigorous interventions or potential harm. They provide insulation and can be easily applied.

C. Increase the client’s oral fluid intake.

While staying well-hydrated is generally important for overall health, increasing oral fluid intake may not directly address the specific issue of cold feet associated with vascular occlusion. It is essential to address the underlying circulatory issue causing the symptom.

D. Place a moist heating pad under the client’s feet.

Applying heat, especially in the form of a moist heating pad, may not be recommended for a client with vascular occlusion. Heat can dilate blood vessels and potentially exacerbate the issue by increasing blood flow to the compromised extremity. It's important to avoid interventions that could worsen the vascular compromise.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client tells the nurse that he suspects that he grinds his teeth at night. Along with giving the client a dental referral, the nurse should explain that the client should see a dentist for this problem, which she should document as which of the following disorders?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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