ATI Adult Medsurg Ch. 72- Osteoporosis and Low-Back Pain

A nurse is assessing a client who has osteoarthritis of the knees and fingers. Which of the following clinical manifestations should the nurse expect to find? (Select all that apply.) A. Heberden's nodes B. Swelling of all joints C. Small body frame D. Enlarged joint size E. Limp when walking

A. CORRECT: Heberden's nodes are enlarged nodules on the distal interphalangeal joints of the hands and feet of a client who has osteoarthritis. B. INCORRECT: Swelling and pain of all joints is a manifestation of rheumatoid arthritis. A local inflammation of a joint is related to osteoarthritis. C. INCORRECT: A small body frame is a risk factor for rheumatoid arthritis. Obesity is a risk factor for osteoarthritis. D. CORRECT: A client may manifest enlarged joints due to bone hypertrophy. E. CORRECT: A client may manifest a limp when walking due to pain from inflammation in the localized joint.

A nurse is providing teaching for a client who has a history of lower back injury. Which of the following instructions should the nurse give the client to prevent further problems with low back pain? (select all that apply) A. engage in regular exercise including walking B. sit for up to 10 hr each day to rest the back C. maintain weight within 25% of ideal body weight D. create a smoking cessation plan E. wear low-heeled shoes

A. engage in regular exercise including walking D. create a smoking cessation plan E. wear low-heeled shoes

A nurse is providing information to a client who has osteoarthritis of the hip and knee. Which of the following information should the nurse include in the information? (Select all that apply.) A. Apply heat to joints to alleviate pain. B. Ice inflamed joints following activity. C. install high toilet D. take baths E. complete high energy activities in the morning

ABCE

A nurse is providing information about capsaicin (Capsin) cream to a client who reports continuous knee pain from osteoarthritis. Which of the following information should the nurse include in the discussion? A. Continuous pain relief is provided. B. inspect for areas of irritation and cuts C. Leave cranes on the hands for 10 min following application. D. Apply the medication every 2 hr during the day.

B.

A nurse is caring for a client who received a lower back injury during a fall and describes sharp pain in the back and down the left leg. In which of the following positions should the nurse plan to place the client to attempt to decrease the pain? A. prone without use of pillows B. semi-fowlers with a pillow under the knees C. high-fowlers with the knees flat on the bed D. supine with the head flat

B. semi-fowlers with a pillow under the knees