The nurse should instruct a client with the initial stages of osteoarthritis to engage in low-impact exercise and take:

1. opioid analgesics.
2. glucosamine and chondroitin agents.
3. acetaminophen.
4. high anti-inflammatory doses of aspirin.


Correct Answer: 3
Rationale 1: Opioid analgesics are not recommended for chronic conditions due to the risk of physical dependence.
Rationale 2: Glucosamine and chondroitin have not been demonstrated to provide benefits for osteoarthritis.
Rationale 3: Acetaminophen is the drug of choice for osteoarthritis. It is effective and inexpensive.
Rationale 4: Previously, aspirin in high anti-inflammatory doses has been used, but this currently is not recommended because of gastrointestinal, renal, and bleeding concerns.
Global Rationale: Acetaminophen is the drug of choice for osteoarthritis. It is effective and inexpensive. Opioid analgesics are not recommended for chronic conditions due to the risk of physical dependence. Glucosamine and chondroitin have not been demonstrated to provide benefits for osteoarthritis. Previously, aspirin in high anti-inflammatory doses has been used, but this currently is not recommended because of gastrointestinal, renal, and bleeding concerns.

Nursing

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