A young adult client with osteoarthritis of both knees tells the nurse of the desire to continue daily walks in the park with friends. How should the nurse respond?
Advise less weight to prevent joint destruction.
Recommend walking indoors for improved stability and safety.
Encourage continued maintenance of the walking routine.
Suggest a calcium supplement along with continued walking.
The Correct Answer is C
Choice A reason: Advising weight loss may be appropriate for long-term joint preservation, but it does not directly address the client’s current desire to maintain a walking routine. It may also be discouraging if not framed supportively.
Choice B reason: Walking indoors may offer stability, but it unnecessarily limits the client’s social engagement and enjoyment of outdoor activity. Unless there are safety concerns, outdoor walking is acceptable.
Choice C reason: Encouraging continued walking supports joint mobility, cardiovascular health, and emotional well-being. Low-impact exercise like walking is recommended for osteoarthritis management and helps maintain function without exacerbating joint damage.
Choice D reason: Calcium supplementation is more relevant to bone health and osteoporosis prevention, not osteoarthritis. It does not directly support joint cartilage or address the client’s activity goals.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: While assessing lung sounds is part of routine monitoring, electrical injuries do not typically cause direct pulmonary complications unless associated with inhalation injury or secondary trauma. It is not the most critical priority in this scenario.
Choice B reason: Electrical current travels through the body and can disrupt cardiac conduction pathways, leading to arrhythmias such as ventricular fibrillation or asystole. Continuous cardiac monitoring is essential to detect and respond to these potentially fatal complications early.
Choice C reason: Evaluating level of consciousness is important, especially if there is concern for neurological involvement. However, cardiac instability poses a more immediate threat to life and must be prioritized.
Choice D reason: Passive range of motion may be beneficial during recovery to prevent contractures, but it is not an urgent intervention in the acute phase of electrical injury management.
Correct Answer is A
Explanation
Choice A reason: Uneven or absent hair distribution on the lower extremities is a classic sign of compromised arterial circulation. Reduced blood flow impairs the delivery of nutrients to hair follicles, leading to hair loss or patchy growth, especially on the shins and feet.
Choice B reason: Lower leg edema is more commonly associated with venous insufficiency or heart failure, not arterial compromise. Arterial disease typically causes dry, thin skin and delayed capillary refill, not fluid accumulation.
Choice C reason: Bronze pigmentation is typically linked to chronic venous stasis or endocrine disorders like Addison’s disease. It is not a hallmark of peripheral arterial disease.
Choice D reason: Bounding peripheral pulses are indicative of increased cardiac output or conditions like aortic regurgitation. In arterial insufficiency, pulses are usually diminished or absent due to narrowed vessels.
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