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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 C

Explanation

Choice A rationale

Applying an ice pack to painful joints can help reduce inflammation and numb the area, providing temporary pain relief. However, it is not a recommended long-term strategy for managing osteoarthritis pain. Heat therapy is often more effective for chronic pain associated with osteoarthritis.

Choice B rationale

Taking aspirin on days with more pain is not recommended for osteoarthritis management. Aspirin is an NSAID and can cause gastrointestinal side effects with long-term use. Acetaminophen is preferred for managing osteoarthritis pain due to its lower risk of side effects.

Choice C rationale

Increasing water intake to 2 liters per day is beneficial for overall health and can help maintain joint lubrication. Proper hydration is important for joint health and can help reduce the risk of further joint damage.

Choice D rationale

High-impact aerobics are not recommended for individuals with osteoarthritis as they can exacerbate joint pain and damage. Low-impact exercises such as swimming, cycling, and walking are better options for maintaining joint mobility and reducing pain.

Correct Answer is D

Explanation

Choice A rationale

Phenazopyridine hydrochloride does not turn the urine purple. Instead, it typically causes the urine to turn a reddish-orange color. This discoloration is harmless and is due to the dye properties of the medication. The purple urine bag syndrome is a rare condition associated with urinary tract infections and not with phenazopyridine hydrochloride use.

Choice B rationale

Phenazopyridine hydrochloride should be taken after meals to minimize stomach upset. Taking it before meals can increase the risk of gastrointestinal discomfort. The medication works as a urinary tract analgesic and does not require administration before meals for effectiveness.

Choice C rationale

Yellowing of the sclera is not an expected effect of phenazopyridine hydrochloride. Yellowing of the sclera, or jaundice, is typically associated with liver dysfunction or hemolysis.
Phenazopyridine hydrochloride does not cause jaundice and any yellowing of the sclera should be promptly evaluated by a healthcare provider.

Choice D rationale

Phenazopyridine hydrochloride works as a urinary tract analgesic. It provides relief from pain, burning, and discomfort caused by irritation of the urinary tract. It is not an antibiotic and does not treat the underlying infection but helps alleviate the symptoms.

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