Which is the primary goal when planning nursing care for a client with degenerative joint disease (DJD)?

Reduce risk for infection.

Achieve satisfactory pain control.

Obtain adequate rest and sleep.

Improve stress management skills.

Answer and Explanation

The Correct Answer is B

Choice A reason: Reducing the risk for infection is important but not the primary goal for DJD as it is not primarily an infectious condition.

Choice B reason: Achieving satisfactory pain control is the primary goal in the management of DJD to improve the client's quality of life and functional ability.

Choice C reason: Obtaining adequate rest and sleep is beneficial for overall health but is secondary to pain control in the management of DJD.

Choice D reason: Improving stress management skills can help with overall well-being but is not the primary focus of care for a client with DJD.

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Correct Answer is D

Explanation

Choice A reason: Application of heat and cold therapy can help manage symptoms but does not encompass the broader aspects of health promotion and teaching.

Choice B reason: Avoidance of foods containing purine is more specific to conditions like gout rather than rheumatoid arthritis, and while diet is important, it does not fully represent health promotion and teaching.

Choice C reason: Immobilization of affected joints is not a health promotion strategy and can actually worsen symptoms over time. Active and passive range-of-motion exercises are recommended instead.

Choice D reason: Prevention through nutrition and exercise is the most comprehensive approach that aligns with health promotion and teaching for clients with rheumatoid arthritis. It includes educating clients on a balanced diet and physical activity to manage symptoms and improve overall health.

A. Eat high-protein foods to achieve ideal body weight. B. Avoid acetylsalicylic acid-containing medications. C. Wrap joints with an elastic bandage when swollen. D. Support joints in an extended position while resting.

Correct Answer is B

Explanation

Choice A reason: Eating high-protein foods to achieve ideal body weight is generally a healthy practice, but it is not directly related to the management of the client's current condition involving pain in the toe.

Choice B reason: Patients with gouty arthritis should avoid acetylsalicylic acid (aspirin) as it can lead to an increase in uric acid levels, potentially exacerbating gout attacks. Instead, medications that do not affect uric acid levels should be used for pain relief.

Choice C reason: Wrapping joints with an elastic bandage can provide support and reduce swelling, but it is not the primary intervention for sudden pain in the toe following an appendectomy, especially when the patient has a history of gouty arthritis.

Choice D reason: Supporting joints in an extended position while resting can provide comfort and may prevent stiffness, but it does not address the acute management of gouty arthritis or diabetic complications that could be causing toe pain.

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Which is the primary goal when planning nursing care for a client with degenerative joint disease (DJD)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which nursing responsibility is related to health promotion and teaching for the client with rheumatoid arthritis?

Correct Answer is D

Explanation

Correct Answer is B

Explanation

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