Which of the following nursing considerations is essential for a client with osteoarthritis?
Encouraging high-impact exercises to improve joint flexibility.
Administering nonsteroidal anti-inflammatory drugs (NSAIDs) as needed for pain relief.
Promoting weight loss for clients with a body mass index (BMI) within the normal range.
Advising the client to avoid any form of physical activity to prevent further joint damage.
The Correct Answer is B
One of the main nursing considerations for a client with osteoarthritis is pain management. Nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly used to provide pain relief and reduce inflammation in individuals with osteoarthritis.
Incorrect responses:
a. Encouraging high-impact exercises is not recommended for clients with osteoarthritis. High-impact activities can cause additional stress on the affected joints and worsen the symptoms.
c. Promoting weight loss is important for overweight or obese clients with osteoarthritis to reduce joint stress. However, it is not applicable for clients with a BMI within the normal range.
d. Advising the client to avoid any form of physical activity is not recommended. Regular low-impact exercises, such as swimming or cycling, are beneficial for individuals with osteoarthritis.
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Correct Answer is C
Explanation
Osteoarthritis is a degenerative joint disease characterized by the gradual breakdown of joint cartilage over time. It is not an autoimmune disease, and it does not involve inflammation like rheumatoid arthritis. While it can affect people of all ages, it is more commonly seen in older adults.
a. Osteoarthritis is not a systemic autoimmune disease. It is primarily a non-inflammatory condition, and the immune system is not involved in its pathogenesis.
b. Osteoarthritis is not a condition that primarily affects young adults. While it can occur at any age, it is more commonly seen in older individuals.
d. Osteoarthritis is not caused by the deposition of urate crystals. Urate crystal deposition is associated with gout, a different form of arthritis.
Correct Answer is A
Explanation
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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