Osteoarthritis (Prep U)
The client with osteoarthritis is seen in the clinic. Which assessment finding indicates the client is having difficulty implementing self-care?
has a weight gain of 5 pounds.
A client asks the nurse what the difference is between osteoarthritis (OA) and rheumatoid arthritis (RA). Which response is correct?
"OA is a noninflammatory joint disease. RA is characterized by inflamed, swollen joints."
A nurse is assessing a client with possible osteoarthritis. What is the most significant risk factor for primary osteoarthritis?
age.
A nurse is managing the care of a client with osteoarthritis. What is the appropriate treatment strategy the nurse will teach the about for osteoarthritis?
administration of nonsteroidal anti-inflammatory drugs (NSAIDs)
A client comes to the emergency department complaining of pain in the right leg. When obtaining the history, the nurse learns that the client has a history of obesity and hypertension. Based on this information the nurse anticipates the client having which musculoskeletal disorder?
degenerative joint disease.
The nurse is completing a health history with a client in a clinic. What assessment finding best correlates with a diagnosis of osteoarthritis?
joint stiffness that increases with activity.
Which of the following maybe the first and only physical sign of symptomatic osteoarthritis (OA)?
limited passive movement
What intervention is a priority for a client diagnosed with osteoarthritis?
physical therapy and exercise
The nurse is teaching a client with osteoarthritis about the disease. What is the most important client focus for disease management?
strategies for remaining active.
A client is taking ibuprofen for the treatment of osteoarthritis. What education will the nurse give the client about the medication?
take the medication on an empty stomach in order to increase effectiveness.
A client with osteoarthritis expresses concerns that the disease will prevent the ability to complete daily chores. Which suggestion should the nurse offer?
"pace yourself and rest frequently, especially after activities."
Osteoarthritis is known as a disease that
is the most common and frequently disabling of joint disorders.
The nurse teaches the client that osteoarthritis is
the most common and frequently disabling of joint disorders.
A client with osteoarthritis asks for information concerning activity and exercise. When assisting the client, which concept should be included?
delaying exercise for at least 1 hour after awakening allows the client to participate in exercise after some of the morning-related stiffness has subsided.
The nurse is gathering a health history for a client with osteoarthritis. What clinical manifestation will the nurse expect to find?
early morning stiffness
Which is an appropriate nursing intervention in the care of the client with osteoarthritis?
encourage weight loss and an increase in aerobic activity.
A client who has been diagnosed with osteoarthritis asks if he or she will eventually begin to notice deformities in the hands and fingers as the condition progresses. Which concept should the nurse include in the response?
hand and finger deformities are associated with the development of rheumatoid arthritis.
Which condition is the leading cause of disability and pain in the elderly?
osteoarthritis.
A client has a history of osteoarthritis. Which signs and symptoms should the nurse expect to find on physical assessment?
joint pain, crepitus, Heberden's nodes
