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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Correct Answer is D
Explanation
Joint protection techniques are an essential component of patient education for clients with osteoarthritis. These techniques help clients reduce stress on their affected joints and manage pain during daily activities. Encouraging frequent high-impact exercises can worsen joint pain and damage in osteoarthritis. Advising the client to avoid all physical activity is not recommended, as regular low-impact exercises are beneficial for joint health. Using a cold pack daily can provide temporary relief from pain and inflammation, but it is not the primary focus of patient education for osteoarthritis.
a. Encouraging frequent high-impact exercises can exacerbate joint pain and damage in clients with osteoarthritis. Low-impact exercises are recommended instead.
b. Advising the client to avoid all physical activity is not recommended. Regular low-impact exercises, such as swimming or walking, are beneficial for joint health in osteoarthritis.
c. Using a cold pack daily can provide temporary relief from pain and inflammation, but it is not the primary focus of patient education for osteoarthritis.
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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