The nurse is evaluating care provided to a client with osteoarthritis. Which client statement indicates to the nurse that interventions for osteoarthritis have been successful?
A) "I had to take early retirement and now stay at home all day and rest my legs."
B) "I am sleeping throughout the night and have not missed any work because of knee pain."
C) "I am moving from my two-story house into the first floor of my daughter's home so I won't have to walk steps anymore."
D) "I changed my work hours so now I work part time and have a nursing assistant who helps me bathe twice a week at home."
Answer: B
Expected outcomes for the care of the client with osteoarthritis include independence with activities of daily living, minimal lifestyle impact because of osteoarthritis, and controlled pain to allow for rest and sleep. Of the client statements provided, the one that would indicate the success of the interventions is the one about improved sleep and pain not interfering with work. The client who changed work hours and has a nursing assistant for bathing is experiencing a reduction in activities of daily living and a significant impact in lifestyle. The client who is moving in with a daughter is experiencing significant lifestyle impact. The client who retired early and stays at home all day and rests also has had a significant impact in lifestyle.
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