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Which nursing instruction is most beneficial to minimize stress on the client's painful joints?
- A. Maintain a normal weight.
- B. Apply a topical analgesic cream.
- C. Take a calcium supplement.
- D. Become more physically active.
Correct Answer: A
Rationale: Maintaining normal weight reduces joint stress, especially in osteoarthritis.
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An hour ago the HCP split the client's forearm cast due to severe arm pain, throbbing, and tingling. Which most important action should be taken by the nurse when the client's symptoms return?
- A. Administer an intravenous pain medication.
- B. Notify the health care provider immediately.
- C. Cut the cast padding and spread the cast Men
- D. Elevate the arm on pillows above the heart level.
Correct Answer: B
Rationale: B. The nurse should notify the HCP immediately because these symptoms suggest compartment syndrome, which is a medical emergency.
To prevent skin breakdown while the client is in Russell's traction, the nurse must frequently inspect the skin in which area?
- A. Over the ischial spines
- B. In the popliteal space
- C. Near the iliac crests
- D. At the zygomatic arch
Correct Answer: B
Rationale: Russell's traction involves a sling under the knee, placing pressure on the popliteal space, which is prone to skin breakdown due to prolonged contact and immobility. Frequent inspection here prevents pressure ulcers.
The 10-year-old, who is Chinese, is scheduled to receive methotrexate to treat IRA. Which information in the medical record of a 10-year-old Chinese child scheduled to receive methotrexate for JRA should prompt the nurse to withhold the dose and contact the HCP?
- A. H&P documentation
- B. Laboratory findings
- C. Vital signs abnormalities
- D. Physical assessment findings
Correct Answer: B
Rationale: Abnormal laboratory findings, such as liver or kidney dysfunction, may contraindicate methotrexate administration.
The nurse documents the admission assessment for the client who is to have a left total hip arthroplasty to treat chronic degenerative joint disease. Which statements indicate that the client uses alternative therapies for CA treatment? Select all that apply.
- A. I take ibuprofen every 4 to 6 hours.'
- B. I wear a copper bracelet all the time.'
- C. I take glucosamine sulfate 1000 mg daily.'
- D. I apply special magnets to the hip joint.'
- E. I sleep on the unaffected hip, turning often.'
Correct Answer: B,C,D
Rationale: B. Wearing a copper bracelet is an alternative therapy used by some with CA for pain control and reduction of joint stiffness. C. Taking glucosamine sulfate is an alternative therapy used by some with CA. Glucosamine is taken to modify cartilage structure, but studies supporting this have been inconclusive. D. Using magnets designed for body application is an alternative therapy used by some with CA for pain control and reduction of joint stiffness.
The nurse, caring for the client who had bilateral THRs 2 days ago, determines that the client will need a referral to manage exercises and stairs when at home. The nurse should plan to initiate a referral with which interdisciplinary team member?
- A. Occupational therapist
- B. Social worker
- C. Physical therapist
- D. Health care provider
Correct Answer: C
Rationale: C. The physical therapist is the team member with expertise to assist in exercises and ambulating with assistive devices.