(Select all that apply):
A nurse is assessing a patient with osteoarthritis.
Which interventions should the nurse consider for managing this patient's condition? Select all that apply.
Administering nonsteroidal anti-inflammatory drugs (NSAIDs) for pain relief.
Encouraging weight loss and a healthy diet to reduce stress on joints.
Recommending physical therapy to improve joint flexibility and strength.
Suggesting the use of opioid medications for long-term pain management.
Advising the patient to avoid all physical activity to prevent joint damage.
Correct Answer : A,B,C
Administering nonsteroidal anti-inflammatory drugs (NSAIDs) for pain relief is a suitable intervention for managing osteoarthritis.
NSAIDs can help reduce pain and inflammation in affected joints.
Choice B rationale:
Encouraging weight loss and a healthy diet to reduce stress on joints is a valid intervention.
Excess weight is a significant risk factor for osteoarthritis, and weight loss can help alleviate symptoms and slow the progression of the disease.
Choice C rationale:
Recommending physical therapy to improve joint flexibility and strength is a beneficial intervention for managing osteoarthritis.
Physical therapy can help patients maintain joint function, reduce pain, and improve their overall quality of life.
Choice D rationale:
Suggesting the use of opioid medications for long-term pain management is not typically the first-line treatment for osteoarthritis.
Opioids are associated with significant risks and should only be considered when other pain management strategies have been ineffective or when the pain is severe and disabling.
Choice E rationale:
Advising the patient to avoid all physical activity to prevent joint damage is not a suitable intervention.
While some modifications to physical activity may be necessary for individuals with osteoarthritis, complete avoidance of physical activity can lead to muscle weakness and decreased joint mobility, which can worsen the condition.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
"Joint deformity is not a common complication of osteoarthritis." This statement is inaccurate.
Joint deformities can occur in osteoarthritis, especially when the disease progresses.
It is essential to provide accurate information to the client.
Choice B rationale:
"There are surgical options available to correct joint deformities." While there are surgical options available for joint deformities, this statement does not directly address the client's concern about the risk of developing joint deformities due to osteoarthritis.
Choice C rationale:
"Ongoing joint damage can lead to deformities like bow-leggedness or knock-knees." This is the correct choice.
It addresses the client's concern by explaining that ongoing joint damage in osteoarthritis can indeed lead to joint deformities, such as bow-leggedness or knock-knees.
Providing this information helps the client understand the potential consequences of their condition.
Choice D rationale:
"Joint deformities are only seen in patients with rheumatoid arthritis." This statement is incorrect because joint deformities can occur in both osteoarthritis and rheumatoid arthritis.
It does not provide accurate information about the client's specific concern.
Correct Answer is D
Explanation
Choice A rationale:
Encouraging the client to avoid moving the joint to prevent further damage is not the best approach.
Complete immobilization can lead to joint contractures and loss of function.
It's important to educate the client on joint protection techniques and safe exercises to maintain joint function.
Choice B rationale:
Administering a high dose of oral steroids to reduce inflammation is not typically the first-line treatment for crepitus in osteoarthritis.
Steroids have potential side effects and should be prescribed by a healthcare provider based on the patient's overall condition.
Choice C rationale:
Providing analgesics to alleviate the crepitus sensation may offer temporary pain relief, but it does not address the underlying issue of joint protection and mobility.
Choice D rationale:
Educating the client on joint protection techniques and exercises is the most appropriate nursing action for a client with osteoarthritis experiencing crepitus.
These techniques can help manage symptoms, improve joint function, and minimize further joint damage.
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