Exemplar-Osteoarthritis

A nurse is providing information to a client who has osteoarthritis of the hip and knee. Which of thefollowing information should the nurse include in the information? (Select all that apply.) A. Apply heat to joints to alleviate pain. B. Ice inflamed joints for 30 min following activity. C. reduce the amount of exercise done on days with increased pain D. prop the knees with a pillow while in bed E. active range of motion is more effective than passive

A. Apply heat to joints to alleviate pain. B. Ice inflamed joints for 30 min following activity. C. reduce the amount of exercise done on days with increased pain D. prop the knees with a pillow while in bed (avoid it cause it keeps them in a flexed position) E. active range of motion is more effective than passive

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 handsand feet of a client who has osteoarthritis.B. INCORRECT: Swelling and pain of all joints is a manifestation of rheumatoid arthritis. A localinflammation of a joint is related to osteoarthritis.C. INCORRECT: A small body frame is a risk factor for rheumatoid arthritis. Obesity is a risk factorfor 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 thelocalized 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 in a clinic is talking with a client who has a new diagnosis of osteoarthritis. The nurse should anticipate that the client will require teaching about which of the following medications? A. Acetaminophen B. Celecoxib C. Cyclobenzaprine D. Ibuprofen

A.Acetaminophen Rationale: According to the American Pain Society, acetaminophen is the primary drug of choice for treating osteoarthritis. The provider would likely begin with this medication.

A nurse is preparing a presentation at a community center about osteoarthritis. The nurse should plan to include which of the following information? (Select all that apply.) a. Affects weight-bearing joints b. Crepitus can occur in affected joints c. Affects bilateral, symmetrical joints d. Causes joint stiffness e. Causes joint pain

ABCD

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. Put on gloves before applying the Crean to other parts of the body C. Leave cranes on the hands for 10 min following application. D. Apply the medication every 2 hr during the day.

B. Put on gloves before applying the Cream to other parts of the body

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

A nurse is teaching a group of clients about osteoarthritis. Which of the following recommendations should the nurse include in the teaching? a. Use Echinacea to manage joint pain. b. Apply ice to the joint before exercising. c. Maintain a recommended body weight. d. Reduce the amount of purine in the diet.

C.Maintain a recommended body weight. Obesity is a risk factor for the development of osteoarthritis. Maintenance of an ideal weight is one way a client can prevent added wear and tear on joints and promote overall joint health.

A nurse is teaching a client about risk factors for osteoarthritis. Which of the following factors should the nurse include in the teaching? (Select all that apply.) a. Bacteria b. Diuretics c. Aging d. Obesity e. Smoking

CDE

A nurse is providing a preventive teaching discussion with a client at risk for osteoarthritis. Which guideline should be included in this discussion related to​ exercise? a Exercise is not recommended b Perform heavy weightlifting exercises three times per week c If there is pain with​ exercise, keep​ going, this is building muscle d Participate in regular​ exercise, including walking or swimming

D

A nurse in a medical clinic is providing teaching to an older adult client who has osteoarthritis that is affecting her knees. Which of the following client statements indicates an understanding of the teaching? a. "I can use either heat or ice to help relieve the discomfort." b. "Ibuprofen is the first step in medication therapy for osteoarthritis." c. "I should limit physical activity to prevent further injury." d. "I will elevate my legs by placing two pillows under my knees when I go to bed."

a. "I can use either heat or ice to help relieve the discomfort."

**A client is starting celecoxib to treat osteoarthritis. The nurse should instruct the client to watch for and report which of the following adverse effects? a. Black, tarry stools b. Bone pain c. Dry mouth d. Polyuria

a. Black, tarry stools