Impaired physical mobility is a major nursing diagnosis for patients with osteoarthritis (OA). Which intervention would be most effective in addressing this patient's limitation?

1. Assessing the patient's range of motion of affected joints in order to plan and implement appropriate interventions
2. Encouraging the patient to assume responsibility for personal self-care needs in order to remain physically active
3. Encouraging consistently high activity levels in order to minimize the development of associated emotional and self-esteem problems
4. Assessing and managing the patient's need for narcotic analgesics in order to minimize the impact of pain on personal activities of daily living


1
Rationale 1: A determination of the patient's range of motion is needed to provide the best individualized care.
Rationale 2: Assuming responsibility for personal self-care needs may not be realistic for all patients with OA.
Rationale 3: Simply encouraging the patient to remain active does not provide comprehensive care.
Rationale 4: Pharmacologic intervention includes many more classes of drugs. The intervention should be to manage the pharmacologic regimen, not specifically to manage one drug class.

Nursing

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