An older adult client sought care for the treatment of a swollen, painful knee joint. Diagnostic imaging and culturing of synovial fluid resulted in a diagnosis of septic arthritis. The nurse should prioritize what aspect of care?

Administration of oral and IV corticosteroids as prescribed

Prevention of falls and pathologic fractures

Maintenance of adequate serum levels of vitamin D

Intravenous administration of antibiotics

Answer and Explanation

The Correct Answer is D

A. Administration of oral and IV corticosteroids as prescribed: Corticosteroids may reduce inflammation but are not the primary treatment in septic arthritis and may even suppress immune response. Antibiotic therapy must be initiated first to control the infection.

B. Prevention of falls and pathologic fractures: While fall prevention is always important, it is not the most urgent need in the acute management of septic arthritis. The priority is treating the infection promptly to prevent joint destruction and systemic spread.

C. Maintenance of adequate serum levels of vitamin D: Vitamin D plays a role in bone health, but this is a long-term concern and does not directly impact the acute treatment of joint infection. It is not relevant to the immediate plan of care for septic arthritis.

D. Intravenous administration of antibiotics: Septic arthritis is a serious joint infection that requires rapid IV antibiotic administration to eradicate the pathogen, prevent sepsis, and preserve joint function. It is the most critical and time-sensitive intervention.

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Correct Answer is D

Explanation

A. Drowsiness is normal for the first week after discharge: Persistent drowsiness after a hemorrhagic stroke may indicate complications such as increased intracranial pressure or recurrent bleeding. It should be reported promptly rather than considered normal.

B. Mild, intermittent seizures can be expected: While seizures can occur after a stroke, especially hemorrhagic, they are not expected or normal. Any seizure activity requires medical evaluation and management.

C. Take ibuprofen for complaints of a serious headache: Ibuprofen is generally avoided after hemorrhagic stroke because it can increase bleeding risk due to its antiplatelet effects. Clients should be advised to report severe headaches to their healthcare provider instead.

D. Take antihypertensive medication as prescribed: Controlling blood pressure is critical after a hemorrhagic stroke to prevent rebleeding and further neurological damage. Adherence to prescribed antihypertensive therapy is essential for optimal recovery and prevention of complications.

A. "I will elevate my legs by placing two pillows under my knees when I go to bed." B. "I can use either heat or ice to help relieve the discomfort." C. "I should limit physical activity to prevent further injury." D. "Ibuprofen is the first step in medication therapy for osteoarthritis.

Correct Answer is B

Explanation

A. "I will elevate my legs by placing two pillows under my knees when I go to bed.": Placing pillows directly under the knees can lead to joint flexion contractures and decreased mobility over time. It’s better to elevate the legs with support under the calves to avoid strain on the knees.

B. "I can use either heat or ice to help relieve the discomfort.": Heat can relax muscles and ease stiffness, while ice helps reduce inflammation and swelling. Both modalities are appropriate and commonly recommended for osteoarthritis symptom relief depending on the stage and discomfort level.

C. "I should limit physical activity to prevent further injury.": Limiting activity entirely can worsen joint stiffness and reduce muscle strength. Instead, low-impact exercises like walking or swimming are encouraged to maintain joint function and overall mobility.

D. "Ibuprofen is the first step in medication therapy for osteoarthritis.": Acetaminophen is recommended as the first-line medication for osteoarthritis pain due to its favorable side-effects. NSAIDs like ibuprofen are considered if acetaminophen is ineffective.

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An older adult client sought care for the treatment of a swollen, painful knee joint. Diagnostic imaging and culturing of synovial fluid resulted in a diagnosis of septic arthritis. The nurse should prioritize what aspect of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing health education for a client who is being discharged after hospitalization for a hemorrhagic stroke. What content should the nurse include in this education?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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