The nurse is providing education to a client with osteoarthritis about the use of assistive devices. Which of the following statements by the client indicates understanding of the instructions?
"I will use a cane on the same side as my affected knee."
"I will use a walker to help me move around my house."
"I will place the crutches under my arms for support."
"I will use a wheelchair for all my daily activities."
The Correct Answer is B
Using a walker is an appropriate choice for a client with osteoarthritis who needs support and stability while moving around the house. It helps distribute weight evenly and reduces stress on the affected joints. Using a cane on the same side as the affected knee can provide some support but may not be as effective as a walker. Placing the crutches under the arms is not a correct technique for using crutches, as they should be positioned in the hand grips for proper support. Using a wheelchair for all daily activities may not be necessary for a client with osteoarthritis, as it may lead to decreased mobility and muscle weakness.
a. "I will use a cane on the same side as my affected knee." Using a cane on the same side as the affected knee may not provide sufficient support and stability for the client.
c. "I will place the crutches under my arms for support." Placing the crutches under the arms is not a correct technique for using crutches, as they should be positioned in the hand grips for proper support.
d. "I will use a wheelchair for all my daily activities." Using a wheelchair for all daily activities may not be necessary for a client with osteoarthritis, as it may lead to decreased mobility and muscle weakness.
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Related Questions
Correct Answer is D
Explanation
Obesity is a significant risk factor for the development of osteoarthritis, especially in weight-bearing joints such as knees and hips. Excess body weight increases stress on the joints, leading to cartilage damage and joint degeneration.
a. Regular physical activity is generally beneficial for joint health and may help prevent osteoarthritis.
b. Young age is not a risk factor for osteoarthritis; it is more common in older adults.
c. Family history of osteoporosis is not directly linked to osteoarthritis; however, a family history of osteoarthritis itself may increase the risk.
Correct Answer is D
Explanation
X-ray is the most commonly used diagnostic test to confirm the diagnosis of osteoarthritis. It can show joint space narrowing, osteophyte formation (bony overgrowths), and other changes characteristic of osteoarthritis. Rheumatoid factor (RF) and antinuclear antibody (ANA) blood tests are used to diagnose autoimmune conditions like rheumatoid arthritis, not osteoarthritis. Magnetic resonance imaging (MRI) can provide more detailed images of joint structures, but X-ray is typically the initial diagnostic test for osteoarthritis.
a. Rheumatoid factor (RF) blood test is used to diagnose rheumatoid arthritis, not osteoarthritis.
b. Antinuclear antibody (ANA) blood test is used to diagnose autoimmune disorders such as systemic lupus erythematosus (SLE), not osteoarthritis.
c. Magnetic resonance imaging (MRI) can be helpful in assessing joint structures in more detail, but X-ray is the primary diagnostic test for osteoarthritis.
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