The healthcare provider is assessing a client with suspected osteoarthritis. Which of the following diagnostic tests is most appropriate to confirm the diagnosis?
Rheumatoid factor (RF) blood test
Magnetic Resonance Imaging (MRI) of the joints
C-reactive protein (CRP) blood test
Synovial fluid analysis
The Correct Answer is B
MRI is the most appropriate diagnostic test to confirm the diagnosis of osteoarthritis. It can provide detailed images of the affected joints, allowing the healthcare provider to assess the joint structures, cartilage, and bone for signs of osteoarthritis. Rheumatoid factor (RF) blood test and C-reactive protein (CRP) blood test are used to diagnose inflammatory arthritis conditions like rheumatoid arthritis, not osteoarthritis. Synovial fluid analysis is usually performed to assess for infection or inflammation in the joint, not to diagnose osteoarthritis.
a. Rheumatoid factor (RF) blood test is used to diagnose inflammatory arthritis conditions like rheumatoid arthritis, not osteoarthritis.
c. C-reactive protein (CRP) blood test is used to diagnose inflammatory conditions, but it is not specific to osteoarthritis.
d. Synovial fluid analysis is usually performed to assess for infection or inflammation in the joint, not to diagnose osteoarthritis.
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Correct Answer is C
Explanation
Regularly inspecting the client's skin for signs of redness or irritation is crucial to prevent skin breakdown in individuals with osteoarthritis. Since they may have difficulty changing positions frequently due to joint pain, it is essential to identify early signs of pressure sores or skin breakdown and implement appropriate interventions. Providing a firm mattress and using pressure-relieving devices (such as cushions and heel protectors) are recommended to prevent skin breakdown. Encouraging the client to sit or lie in one position for extended periods can lead to pressure ulcers. Applying lotion with a high alcohol content can dry out the skin and increase the risk of skin irritation and breakdown.
a. Providing a firm mattress and using pressure-relieving devices are essential interventions to prevent skin breakdown in clients with osteoarthritis.
b. Encouraging the client to sit or lie in one position for extended periods can lead to pressure ulcers and skin breakdown. Frequent position changes are important for preventing pressure sores.
Correct Answer is B
Explanation
Osteoarthritis is characterized by the breakdown of articular cartilage and changes in the underlying bone. It primarily affects the joint structures, leading to pain, stiffness, and loss of joint function.
a. The synovial membrane and tendons are involved in other joint diseases such as rheumatoid arthritis and tendinitis, not osteoarthritis.
c. Ligaments and bursae are important for joint stability and movement, but they are not primarily affected in osteoarthritis.
d. Muscles and nerves can be affected indirectly due to joint changes in osteoarthritis, but they are not the primary structures involved in the disease process.
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