(Select all that apply): A nurse is caring for a patient with osteoarthritis.
Which nursing assessments should be included in the plan of care for this patient? Select all that apply.
Monitor the patient's blood pressure regularly.
Assess the patient's ability to perform activities of daily living.
Evaluate the patient's range of motion in the affected joint.
Administer nonsteroidal anti-inflammatory drugs (NSAIDs) as needed.
Observe for signs of joint inflammation, such as swelling and redness.
Correct Answer : B,C,E
Choice A rationale:
Monitoring the patient's blood pressure is not directly related to the care of a patient with osteoarthritis.
It is important to focus on assessments related to joint function and pain management.
Choice B rationale:
Assessing the patient's ability to perform activities of daily living is important in the plan of care for a patient with osteoarthritis.
It helps determine the impact of the condition on their daily life and guides interventions to maintain independence.
Choice C rationale:
Evaluating the patient's range of motion in the affected joint is essential for assessing the severity of osteoarthritis and planning appropriate interventions.
Limited range of motion is a common symptom of osteoarthritis.
Choice D rationale:
Administering nonsteroidal anti-inflammatory drugs (NSAIDs) as needed is a medical intervention, not a nursing assessment.
The nurse may administer medications based on the healthcare provider's orders but does not assess the need for medication.
Choice E rationale:
Observing for signs of joint inflammation, such as swelling and redness, is an important nursing assessment for a patient with osteoarthritis.
These signs can indicate disease activity and may guide treatment decisions.
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Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Advising the client to perform high-impact aerobic exercises is not appropriate for someone with osteoarthritis, especially if they complain of stiffness.
High-impact exercises can place excessive stress on the affected joints and worsen symptoms.
Choice B rationale:
Recommending ice packs to the affected joint regularly may temporarily reduce inflammation and provide relief, but it does not address the issue of stiffness or promote joint flexibility.
Choice C rationale:
Encouraging the client to keep the joint immobile to prevent further stiffness is not the best approach.
Immobilization can lead to joint contractures and loss of range of motion.
It's important to promote gentle movement and flexibility exercises to manage stiffness in osteoarthritis.
Choice D rationale:
Instructing the client on gentle range-of-motion exercises is the most appropriate education to address stiffness in osteoarthritis.
These exercises can help maintain joint flexibility, reduce stiffness, and improve overall joint function.
Correct Answer is A
Explanation
Choice A rationale:
Obesity is a primary risk factor associated with the development of osteoarthritis.
Excess body weight places increased mechanical stress on weight-bearing joints, such as the knees and hips, which can lead to the degeneration of joint cartilage and the development of osteoarthritis.
Choice B rationale:
Genetic factors can contribute to the risk of developing osteoarthritis, but they are not the primary risk factor.
Obesity and joint injury are more commonly recognized as primary risk factors.
Choice C rationale:
Advanced age is a risk factor for osteoarthritis, particularly in older individuals.
However, it is not the primary risk factor.
Obesity and joint injury play more significant roles in the development of the condition.
Choice D rationale:
Joint injury, such as fractures or repetitive trauma, can contribute to the development of osteoarthritis, but it is not the primary risk factor.
Obesity is a more significant primary risk factor.
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