Mobility practice questions

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."

"I can use either heat or ice to help relieve the discomfort." The nurse should reinforce that different treatment modalities, such as heat or cold therapy, can be tried to determine which one is more effective for the client. Heat application can help with muscle relaxation in the area around the affected joint. The application of cold numbs nerve endings and decreases joint inflammation.

A nurse is teaching a client who has osteoarthritis. Which of the following instructions should the nurse include in the teaching? a. "Apply a heat pack at a temperature below your body temperature." b. "Elevate the affected joint on large pillows." c. "Take acetaminophen as the primary medication to treat the pain." d. "Decrease foods high in purines."

"Take acetaminophen as the primary medication to treat the pain." The nurse should instruct the client to take acetaminophen to treat osteoarthritis.

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

Black, tarry stools Celecoxib can cause gastrointestinal bleeding. The client should watch for and report black, dark-colored, or bloody stools, abdominal pain, or coffee-ground emesis. The nurse also should instruct the client to take celecoxib with food to reduce gastric irritation.

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

Affects weight-bearing joints is correct. Stress from the use of weight bearing joints can result in joint degeneration and osteoarthritis. Crepitus can occur in affected joints is correct. Clients who have osteoarthritis can develop crepitus, or a grating sound, caused by friction in the joints. Causes joint stiffness is correct. Clients who have osteoarthritis have chronic joint stiffness. Causes joint pain is correct. Clients who have osteoarthritis have chronic joint pain. Affects bilateral, symmetrical joints is incorrect. Rheumatoid arthritis occurs in bilateral symmetrical joints.

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

Aging is correct. Aging is a risk factor for osteoarthritis, as the joints bear the load of the body's weight over time. Obesity is correct. Obesity is a risk factor for osteoarthritis, as it increases the load of the body's weight over time. Smoking is correct. Smoking is a risk factor for osteoarthritis, as smoking predisposes people to the loss of cartilage in the knees.

A nurse is completing a physical assessment of a client who has early osteoarthritis. Which of the following manifestations should the nurse expect? a. Symmetric joints affected b. Pain worsens with activity c. Weight loss d. Ulnar deviation

Pain worsens with activity The typical cycle of pain and relief in a client who has early osteoarthritis consists of pain with activity and pain relief with rest. As the disorder progresses, clients typically experience pain even while the joint is at rest.

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.

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 in a provider's office is collecting a health history from a client who is at risk for primary osteoporosis. Which of the following findings is a risk factor for the development of osteoporosis? a. Obesity b. Sedentary lifestyle c. Long-term use of diuretics d. Prolonged stress

Sedentary lifestyle A sedentary lifestyle places the client at risk for osteoporosis. Regular, weight-bearing exercises help to build bone tissue.