When caring for a client with osteoarthritis, which nursing intervention is essential to promote joint mobility and reduce stiffness?
Encouraging the client to avoid physical activity to prevent further joint damage.
Applying cold packs to the affected joints to reduce inflammation and pain.
Assisting the client with range-of-motion exercises regularly.
Administering muscle relaxants to relieve joint stiffness.
The Correct Answer is C
Assisting the client with range-of-motion exercises regularly is an essential nursing intervention to promote joint mobility and reduce stiffness in individuals with osteoarthritis. These exercises help maintain joint flexibility and prevent further joint contractures. Encouraging the client to avoid physical activity can lead to joint stiffness and worsen the symptoms of osteoarthritis. Applying cold packs can provide temporary relief from pain and inflammation, but it is not a primary intervention to promote joint mobility. Administering muscle relaxants may not be the best approach to address joint stiffness in osteoarthritis.
a. Encouraging the client to avoid physical activity is not recommended. Regular low-impact exercises, such as swimming or walking, are beneficial for joint health and mobility in clients with osteoarthritis.
b. Applying cold packs can provide temporary relief from pain and inflammation but is not a primary intervention for promoting joint mobility in osteoarthritis.
d. Administering muscle relaxants may not be the best approach for addressing joint stiffness in osteoarthritis. Range-of-motion exercises and physical therapy are more effective interventions for improving joint mobility.
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Correct Answer is B
Explanation
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.
Correct Answer is C
Explanation
The presence of Heberden's nodes, which are bony enlargements at the distal interphalangeal (DIP) joints, is a characteristic clinical manifestation of osteoarthritis. These nodes are a result of cartilage degeneration in the affected joints.
a. Joint pain that worsens with rest is more indicative of inflammatory arthritis conditions like rheumatoid arthritis, not osteoarthritis.
b. Joint pain that improves with activity is not typical of osteoarthritis, which tends to worsen with weight-bearing activities.
d. Warm and erythematous joints are signs of inflammation and are more commonly seen in inflammatory arthritis conditions, not osteoarthritis.
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