Which of the following instructions should the nurse include in the education of a client with osteoarthritis?
"Take frequent breaks during activities to rest your affected joints."
"Avoid using assistive devices to prevent dependency on them."
"Perform high-impact exercises regularly to strengthen your joints."
"Apply a heating pad for at least 1 hour to alleviate joint pain."
The Correct Answer is A
Instructing the client to take frequent breaks during activities to rest the affected joints helps reduce stress and prevent worsening of symptoms. Avoiding the use of assistive devices can lead to increased joint strain and pain, so it is essential to encourage their appropriate use. Performing high-impact exercises is not recommended, as they can worsen joint pain and damage. Applying a heating pad for an extended period is not advisable, as it can cause burns and skin irritation.
b. "Avoid using assistive devices to prevent dependency on them." Encouraging the appropriate use of assistive devices is important for clients with osteoarthritis to reduce joint stress during daily activities.
c. "Perform high-impact exercises regularly to strengthen your joints." High-impact exercises can exacerbate joint pain and damage in clients with osteoarthritis. Low-impact exercises are recommended instead.
d. "Apply a heating pad for at least 1 hour to alleviate joint pain." Applying a heating pad for an extended period can cause burns and skin irritation. Using a heating pad for short intervals is appropriate for pain relief.
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Related Questions
Correct Answer is C
Explanation
Heberden's nodes are bony enlargements that occur at the distal interphalangeal (DIP) joints of the fingers and are a characteristic finding in osteoarthritis. Warm, swollen, and tender joints are typical of inflammatory arthritis conditions like rheumatoid arthritis, not osteoarthritis. Symmetrical joint involvement is more common in systemic autoimmune disorders such as rheumatoid arthritis, not osteoarthritis. A positive Babinski reflex is a neurological finding and is not related to the diagnosis of osteoarthritis.
a. Warm, swollen, and tender joints are typical of inflammatory arthritis conditions like rheumatoid arthritis, not osteoarthritis.
b. Symmetrical joint involvement is more common in systemic autoimmune disorders such as rheumatoid arthritis, not osteoarthritis.
d. A positive Babinski reflex is a neurological finding and is not related to the diagnosis of osteoarthritis.
Correct Answer is D
Explanation
Obesity is a modifiable risk factor for osteoarthritis. Excess body weight puts increased stress on weight-bearing joints, such as the knees and hips, leading to accelerated wear and tear of the joint cartilage.
a. Age over 60 years is a non-modifiable risk factor for osteoarthritis. While the risk of osteoarthritis increases with age, the age itself cannot be modified.
b. Female gender is a non-modifiable risk factor for osteoarthritis. Women have a higher risk of developing osteoarthritis compared to men, but gender cannot be modified.
c. Family history of osteoarthritis is a non-modifiable risk factor. Having a family history of the condition increases the risk, but it cannot be modified.
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