Exam 2 Chapter 13.4 Osteoarthritis

The nurse is providing home care teaching to a client diagnosed with osteoarthritis. Which statement is appropriate for the nurse to include in the teaching session for this​ client? ​"Stretching all muscle groups for 30 minutes each day has been recommended by the healthcare​ provider." ​"When you begin your strengthening​ exercises, it is appropriate to start with a large weight and work your way​ down." ​"Water exercises should not be tried because water buoyancy increases force on the​ joints." ​"Balance and agility exercises can help maintain daily living skills and have been recommended by your healthcare​ provider."

​"Balance and agility exercises can help maintain daily living skills and have been recommended by your healthcare​ provider."

The nurse is providing education to a community group about developing osteoarthritis. What​ joints, commonly​ affected, will the nurse include in the educational​ session? ​Ankles, feet, and spine ​Knees, feet, and spine ​Hands, knees, and hips ​Neck, shoulders, and ankles

​Hands, knees, and hips

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? If there is pain with​ exercise, keep​ going, this is building muscle Perform heavy weightlifting exercises three times per week Participate in regular​ exercise, including walking or swimming Exercise is not recommended

Participate in regular​ exercise, including walking or swimming

What are the common risk factors for​ osteoarthritis? ​(Select all that​ apply.) Autoimmune disorder Ingestion of large amounts of purine Activities affecting​ weight-bearing joints Obesity Overuse of joints from sports or strenuous activities

Activities affecting​ weight-bearing joints Obesity Overuse of joints from sports or strenuous activities

A client experiencing severe pain that cannot be managed through pain medications or nonpharmacologic therapy may need surgical intervention. Which surgical treatments will the nurse include in the teaching session with other members of the healthcare​ team? ​(Select all that​ apply.) Arthroplasty Joint fusion Serum hyaluronic acid Osteotomy Cortisone therapy

Arthroplasty Joint fusion Osteotomy

A client complains of knee pain during an appointment at a medical clinic. After reviewing the client​'s medical​ record, the nurse notes the client has been taking​ over-the-counter NSAIDs, with no pain relief. The nurse can anticipate the healthcare provider writing a prescription for what medication at ​discharge? Naproxen​ (Aleve) Morphine sulfate Acetaminophen​ (Tylenol) Celecoxib​ (Celebrex)

Celecoxib​ (Celebrex)

A client diagnosed with osteoarthritis of the hands presents with bony lumps on the end joints of her digits. How will the nurse document this finding in the medical​ record? Heberden nodes Bouchard nodes Osteoblasts Lymph node swelling

Heberden nodes

The nurse is planning care for a client with osteoarthritis. Which potential problem is priority for the nurse to​ address? ​(Select all that​ apply.) Impaired physical mobility Impaired skin integrity Chronic pain Fluid volume deficit Impaired cardiac output

Impaired physical mobility Chronic Pain

Which surgical treatment can be used to realign a joint that is affected by​ osteoarthritis? Arthroscopy Joint arthroplasty Osteotomy Joint biopsy

Osteotomy

The nurse is providing education at a community health fair about osteoarthritis. Which are the general clinical manifestations associated with osteoarthritis that the nurse should include when providing this​ education? ​(Select all that​ apply.) Mild fever Abrupt onset Pain and stiffness at night Crepitus with movement of joint Joint pain with activity

Pain and stiffness at night Crepitus with movement of joint Joint pain with activity

The nurse is providing education to a client who is scheduled for an osteotomy. Which information should the nurse include about this​ procedure? The procedure will stop osteoarthritis from progressing. Excess debris will be flushed out. The joint will be reconstructed. Realignment of the joint will occur.

Realignment of the joint will occur.

Jackie​ Waite, age​ 44, is diagnosed with osteoarthritis. Ms. Waite wants to know how this could have happened to her. Which rationale from Ms.​ Waite's health history supports this​ diagnosis? Repeated use of​ weight-bearing joints Childhood psoriasis Ingestion of​ purine-rich substances Chronic inflammation of peripheral joints

Repeated use of​ weight-bearing joints

Which diagnostic test will best determine the cause of joint damage with​ osteoarthritis? Joint​ x-ray MRI of joint Synovial fluid analysis Electromyogram​ (EMG)

Synovial fluid analysis

The nurse is providing education about home care for a client with osteoarthritis of the knees. Which information should the nurse include during this educational​ session? ​(Select all that​ apply.) Taking pain medications as ordered Installing handrails in bathroom Using assistive devices to minimize stress placed on affected joint Continuing activity with repetitive movement Encouraging heavy lifting to maintain muscle strength

Taking pain medications as ordered Installing handrails in bathroom Using assistive devices to minimize stress placed on affected joint

The nurse is planning care for a client with osteoarthritis of the hips. Which intervention will assist in addressing the potential problem of physical​ mobility? Recommend a local support group for the client and spouse. Educate the client about proper skin care. Encourage the client to avoid all physical activity. Teach active and passive range of motion exercises.

Teach active and passive range of motion exercises.

A client with possible osteoarthritis is scheduled for a synovial fluid analysis. The nurse should explain to the client that this diagnostic test is being completed for what​ reason? To rule out inflammatory arthritis and gout To determine the extent of joint damage To evaluate for increased density of subchondral bone To identify irregular joint space narrowing

To rule out inflammatory arthritis and gout

Which health promotion activities support a healthy lifestyle for clients with​ osteoarthritis? ​(Select all that​ apply.) Use soft chairs and recliners for rest Use assistive devices as needed Increase dietary intake of calcium Limit participation in ROM exercises Maintain a normal weight

Use assistive devices as needed Maintain a normal weight

Which interventions support effective management of chronic pain that is experienced by a client with​ osteoarthritis? ​(Select all that​ apply.) Using firm support in chairs and mattresses to properly align the body Encouraging resting painful joints Teaching proper posture and good body mechanics for activities of mobility Applying cool compresses to painful joints to reduce inflammation Limiting isometric exercises to reduce strain on the joints

Using firm support in chairs and mattresses to properly align the body Encouraging resting painful joints Teaching proper posture and good body mechanics for activities of mobility

Mrs. Gladek is a​ 70-year-old White woman who has experienced progressive symptoms of osteoarthritis over the past 5 years. In addition to taking prescribed analgesics and​ anti-inflammatory medications, she is discussing interventions that she implemented into her daily lifestyle to manage her disease condition. Which activity would you suggest to Mrs. Gladek to provide additional exercise opportunities for​ her? Interval training to jog a 5K Water aerobic activities Meditation Doubles tennis for older adults

Water aerobic activities

Mrs. Kingsley is a​ 64-year-old African American woman who has returned to the healthcare​ provider's office for​ follow-up of the osteoarthritic condition of her knees. Although both knees are​ affected, today her left knee is more swollen than the right knee. During your​ assessment, Mrs. Kingsley asks​ you, "If I am losing the cartilage in my​ knees, why do my knees look​ larger?" What would be an appropriate​ response? As your joint cartilage​ reduces, with​ exercise, muscle mass​ increases, which makes the knees look larger. With​ osteoarthritis, sometimes inflammation increases the size of your knees or fluid​ build-up occurs. Since your condition has​ progressed, your knees have developed contractures and this increases the size of the knees. Although the cartilage is​ destroyed, you may be building up more bone in the knee.

With​ osteoarthritis, sometimes inflammation increases the size of your knees or fluid​ build-up occurs.