An older client is diagnosed with osteoarthritis. Which of the following should the nurse encourage the client to do?- Skildor

Question 1 of 5

An older client is diagnosed with osteoarthritis. Which of the following should the nurse encourage the client to do?

A. Increase joint immobility to prevent pain. B. Use heat and cold therapy for pain management. C. Take aspirin in large doses for pain relief. D. Rest in bed for long periods of time.

Correct Answer: B

Rationale: Heat and cold therapy can help manage pain and stiffness in osteoarthritis, improving comfort and mobility.

Question 2 of 5

What further diagnostic steps are required for the seven patients receiving atypical antipsychotics?

A. All patients should receive 1 week of actigraphy monitoring both on and off their current antipsychotic. B. All patients should be immediately referred for cognitive behavioral therapy for insomnia (CBTI). C. All patients should receive referral to both psychiatry and neurology, neuroimaging, and screening polysomnography to identify underlying sleep disorder. D. Unless there is an underlying suspicion of obstructive sleep apnea (OSA) or other sleep disorder, these patients already meet criteria for irregular sleep-wake phase disorder, and no further diagnostic steps are required.

Correct Answer: C

Rationale: Comprehensive diagnostic steps involving psychiatry, neurology, and neuroimaging are necessary to assess underlying conditions and ensure proper management.

Question 3 of 5

Randall Johnson, an 80-year-old man with a history of high blood pressure and hypothyroidism, presents with ongoing dizziness. What is the most likely cause of his dizziness?

A. Orthostatic hypotension B. Benign positional paroxysmal vertigo C. Overcontrol of thyroid D. M�ni�re disease

Correct Answer: A

Rationale: Orthostatic hypotension is the most likely cause of dizziness in this patient with high blood pressure and hypothyroidism.

Question 4 of 5

George Hall is a 91-year-old man. If the physician agrees with his daughter and does not inform George of bad news, which ethical principle might this violate?

A. Paternalism B. Autonomy C. Authenticity D. None of the above

Correct Answer: B

Rationale: Autonomy is violated when the patient is not informed about his medical condition.

Question 5 of 5

On admission to the hospital, an 85-year-old woman was found to have a fungating mass on her right breast. The mass is 9 cm in diameter, partially ulcerated, and associated with edema of the arm and obvious pain. The patient has no children and had lived alone until recently, when a neighbor became concerned for what appeared to be a progressive loss of memory and neglect of the house. A nephew living in another city eventually came to take care of the situation and arranged for the admission. The patient appears confused and withdrawn; her appearance is disheveled, but she seems to be independent in her ADLs. The medical history is negative for any serious illnesses. She was able to drive her own car until shortly before this admission. The nephew does not wish to authorize hospice �right now.� A positron-emission tomography scan was negative for metastatic disease. In addition to determining the cause of her delirium, which of the following is the best way to address the breast mass?

A. Tamoxifen should be initiated immediately. If no response is seen in 3 months, the patient should receive chemotherapy. B. The mass should be biopsied to study hormone receptor and HER2/neu antigen status. C. The patient should undergo surgery as initial treatment. D. The initial treatment should be radiation therapy.

Correct Answer: E

Rationale: Given the patient's age and condition, the best approach is to avoid aggressive treatment and focus on symptom management.