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A nurse is reinforcing discharge teaching with a client who has osteoarthritis. Which of the following statements by the client indicates an understanding of the teaching?

A.

Osteoarthritis is caused by inflammation that affects both joints and other body tissues.

B.

Osteoarthritis occurs due to the aging process and results in disintegration of cartilage in a joint.

C.

Osteoarthritis is due to loss of calcium in the bones, which can lead to increased risk for bone fractures.

D.

Osteoarthritis happens in several phases when deposits of crystals develop in joints and soft tissues.

Answer and Explanation

The Correct Answer is B

Choice A rationale

 

Osteoarthritis is caused by inflammation that affects both joints and other body tissues is incorrect. This description is more characteristic of rheumatoid arthritis, which is an autoimmune disease that causes systemic inflammation.

 

Choice B rationale

 

Osteoarthritis occurs due to the aging process and results in disintegration of cartilage in a joint is correct. Osteoarthritis is a degenerative joint disease that primarily affects the cartilage, leading to its breakdown over time.

 

Choice C rationale

 

Osteoarthritis is due to loss of calcium in the bones, which can lead to increased risk for bone fractures is incorrect. This description is more characteristic of osteoporosis, a condition that weakens bones and makes them more prone to fractures.

 

Choice D rationale

 

Osteoarthritis happens in several phases when deposits of crystals develop in joints and soft tissues is incorrect. This description is more characteristic of gout, a type of arthritis caused by the deposition of urate crystals in the joints.


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Correct Answer is A

Explanation

Choice A rationale

A urinary tract infection (UTI) is a common cause of dark amber, cloudy urine with an unpleasant odor. UTIs are caused by bacteria that infect the urinary tract, leading to inflammation and the presence of pus or white blood cells in the urine. This can result in cloudyurine with a strong odor. Prompt treatment with antibiotics is necessary to resolve the infection and prevent complications.

Choice B rationale

Dehydration can cause dark amber urine, but it does not typically cause cloudiness or an unpleasant odor. Dehydration leads to concentrated urine, which appears darker in color. However, the presence of cloudiness and odor suggests an infection rather than dehydration.

Choice C rationale

Kidney stones can cause dark urine if there is bleeding, but they do not typically cause cloudiness or an unpleasant odor. The passage of a kidney stone can lead to hematuria (blood in the urine), which may darken the urine. However, the symptoms described are more indicative of a urinary tract infection.

Choice D rationale

Liver disease can cause dark urine due to the presence of bilirubin, but it does not typically cause cloudiness or an unpleasant odor. Dark urine in liver disease is usually accompanied by other symptoms such as jaundice, pale stools, and fatigue. The combination of dark, cloudy urine with an unpleasant odor is more suggestive of a urinary tract infection.

Correct Answer is C

Explanation

Choice A rationale

Diaphoresis is incorrect. Diaphoresis, or excessive sweating, is not a typical symptom of end- stage kidney disease.

Choice B rationale

Hypotension is incorrect. While hypotension can occur in end-stage kidney disease, it is not as common as other symptoms like edema.

Choice C rationale

Peripheral edema is correct. Peripheral edema is a common symptom of end-stage kidney disease due to the kidneys’ inability to remove excess fluid from the body.

Choice D rationale

Facial flushing is incorrect. Facial flushing is not a typical symptom of end-stage kidney disease. .

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