Which of the following clinical manifestations is commonly seen in osteoarthritis?
Warm and swollen joints
Morning joint stiffness lasting for several hours
Red, hot, and tender joints
Crepitus during joint movement
The Correct Answer is D
Crepitus, a crackling or grating sensation during joint movement, is a common clinical manifestation of osteoarthritis. It occurs due to the irregular surfaces of the joint caused by cartilage degeneration.
a. Warm and swollen joints are characteristic of inflammatory arthritis conditions like rheumatoid arthritis, not osteoarthritis.
b. Morning joint stiffness lasting for several hours is typical of inflammatory arthritis conditions like rheumatoid arthritis, not osteoarthritis.
c. Red, hot, and tender joints are signs of inflammation and are more commonly seen in inflammatory arthritis conditions, not osteoarthritis.
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Correct Answer is C
Explanation
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.
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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