An 82-year-old client walked 2 miles last week to enjoy the spring weather. The client says since that time, "I haven't been doing very much, I'm afraid it will hurt." Which action by the nurse is most appropriate?
A) Discuss moderation in activity, encouraging continued movement.
B) Obtain a cane for use to improve balance, and reduce the client's fears.
C) Encourage the client to walk the 2 miles every day.
D) Have the client take ibuprofen (Motrin IB) every morning.
Ans: A
Practices that are recommended for self-care of osteoarthritis include using moist heat and analgesics for pain, regular low impact exercise, and balancing weight-bearing activities with rest periods. Walking 2 miles is too far for this client (as evidenced by the severe pain after walking that distance previously). The client does not currently have any balance issues; thus, a cane would not reduce the fear of pain.
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