The nurse is caring for a client who is receiving sodium hyaluronate (Hyalgan) injections. What should the nurse include in the medication teaching?
1. Continue with all activities following injection, so as not to cause stiffness.
2. Increase ROM to joint for better dispersal of the medication.
3. No weight bearing on the joint following injection.
4. Avoid strenuous exercise for 48 hours after injection.
Correct Answer: 4
Rationale 1: Continue with all activities following injection, so as not to cause stiffness is incorrect because Hyalgan helps to provide a barrier, thus preventing friction and further inflammation of the joint. Clients should be told that side effects can include swelling and/or pain at the injection site, and that they must avoid strenuous activities for approximately 48 hours after an injection.
Rationale 2: Increase ROM to joint for better dispersal of the medication is incorrect. Hyalgan helps to provide a barrier, thus preventing friction and further inflammation of the joint. Clients should be told that side effects can include swelling and/or pain at the injection site, and that they must avoid strenuous activities for approximately 48 hours after an injection.
Rationale 3: No weight bearing on the joint following injection is incorrect because Hyalgan helps to provide a barrier, thus preventing friction and further inflammation of the joint. Clients should be told that side effects can include swelling and/or pain at the injection site, and that they must avoid strenuous activities for approximately 48 hours after an injection.
Rationale 4: Hyalgan is a preparation of a chemical normally found in high amounts within synovial fluid. Administered by injection into the knee joint, this drug replaces or supplements the body's natural hyaluronic acid that has deteriorated due to the inflammation of the osteoarthritis. Hyalgan helps to provide a barrier, thus preventing friction and further inflammation of the joint. Clients should be told that side effects can include swelling and/or pain at the injection site, and that they must avoid strenuous activities for approximately 48 hours after an injection.
Global Rationale: Hyalgan is a preparation of a chemical normally found in high amounts within synovial fluid. Administered by injection into the knee joint, this drug replaces or supplements the body's natural hyaluronic acid that has deteriorated due to the inflammation of the osteoarthritis. Hyalgan helps to provide a barrier, thus preventing friction and further inflammation of the joint. Clients should be told that side effects can include swelling and/or pain at the injection site, and that they must avoid strenuous activities for approximately 48 hours after an injection.
You might also like to view...
Upon examination, a normal umbilical cord should contain:
a. one artery and one vein c. two arteries and one vein b. one artery and two veins d. two arteries and two veins
The nurse is caring for a 74-year-old patient with chronic open-angle glaucoma. After the nurse administers pilocarpine, the patient reports blurred vision. Which nursing action is most appropriate?
A) Holding the next dose and notifying the physician B) Treating the patient for an allergic reaction C) Suggesting that the patient put on his glasses D) Explaining that this is an expected adverse effect
The patient is recovering from a delivery that included a midline episiotomy. Her perineum is swollen and sore. Ten minutes after an ice pack is applied, the patient asks for another. The best response from the nurse is:
1. "I'll get you one right away." 2. "You only need to use one ice pack." 3. "You need to leave it off for at least 20 minutes and then reapply." 4. "I'll bring you an extra so that you can change it when you are ready."
The nurse is planning care for a preschool-age client who has cerebral palsy (CP). Which interventions are appropriate for this client?
1. Providing heath supervision 2. Collaborating with physical therapy 3. Assisting with planning educational services 4. Prescribing medication for spasticity 5. Promoting growth and development