The nurse is discharging a client with osteoarthritis. Which of the following would the nurse include in the teaching plan? Standard Text: Select all that apply
1. Obesity increases the risks of bone, muscle, and joint disorders.
2. Musculoskeletal health is influenced by the diet.
3. Exercise is important in the prevention of osteoarthritis.
4. Smoking and alcohol contribute to the development of osteoarthritis.
5. As the condition progresses the hands may develop contractures that resemble swan necks
1,2,3
Rationale 1: Obesity increases the risks of bone, muscle, and joint disorders. Obesity places an increase in stress on the bones and joints. Obesity is viewed as a risk factor for the development of osteoarthritis.
Rationale 2: Musculoskeletal health is influenced by the diet. Dietary intake has an impact on musculoskeletal health. Vitamin D and calcium are associated with bone health. Protein intake is associated with healthy muscles.
Rationale 3: Exercise is important in the prevention of osteoarthritis. Exercise increases muscle strength and flexibility.
Rationale 4: Smoking and alcohol contribute to the development of osteoarthritis. Smoking and alcohol are risk factors for the development of osteoporosis not osteoarthritis.
Rationale 5: As the condition progresses the hands may develop contractures that resemble swan necks. Swan-neck contractures are a deformity noted in the hand of an individual diagnosed with rheumatoid arthritis. Rheumatoid arthritis is a systemic disorder of autoimmune origin.
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The client states she was unaware of the injury and it may have occurred from hot water when cooking. Your interpretation of this finding is that the client is A) losing short-term memory. B) experiencing friction tears of the skin. C) at risk for further injury. D) experiencing senile purpura in the skin.
The most important diet guideline for older clients with diabetes mellitus to follow is
A) consistently eat at regular times including meals and snacks. B) eliminate as much fat from the diet as possible. C) include foods rich in calcium at every meal. D) include the majority of the caloric intake in the morning meal.
What is the primary goal of the planning process?
A) To identify goals for the client B) To prepare a plan of care C) To establish priorities for care D) To acknowledge client needs
A client has diabetes insipidus and receives desmopressin (DDAVP). The nurse completes medication education and evaluates that learning has occurred when the client makes which statement?
1. "This medication is a potent vasodilator; my blood pressure can fall." 2. "This medication promotes diuresis in my body; my blood pressure can fall." 3. "This medication increases water reabsorption in my kidneys." 4. "This medication suppresses hormone secretion from my posterior pituitary gland."