Which assessment is typical for a patient with osteoarthritis ...

[crobinson2013]

Which assessment is typical for a patient with osteoarthritis (OA)?
 
  a. Narrow joint spaces with crepitus
  b. Effects occur in symmetrical joints
  c. Morning stiffness for at least an hour
  d. Swelling from excess synovial fluid

Question 2

The nurse plans care for an older adult who is from Jamaica and resides in New York City. Which should the nurse include in planning care?
 
  a. Attribute his illness to breaking a voodoo.
  b. Help him to improve social relationships.
  c. Maintain blood pressure below 120/70 mm Hg.
  d. Review principles of the magicoreligious system.

[alvinum]

Answer to Question 1

A

Feedback
A Correct. The joint of an older adult with OA is narrower than a normal joint, and as the disease advances, crepitus is palpable over the joint. The joint narrows as it degenerates, and crepitus occurs as the articulating surfaces of the bone move against each other abnormally.
B Incorrect. Disease in symmetrical joints is characteristic of rheumatoid arthritis (RA).
C Incorrect. Morning stiffness lasting for 1 hour or more is characteristic of poly-myalgia rheumatica.
D Incorrect. Swelling from excessive synovial fluid is characteristic of RA.

Answer to Question 2

C

Feedback
A Incorrect. The nurse can be assuming incorrectly that he practices and believes in the magicoreligious system. The nurse should assess his spiritual beliefs and determine how much they influence his attitudes toward Western health care.
B Incorrect. The magicoreligious system maintains social relationships in good condition to prevent illness; however, if he does not follow this cultural practice, this goal can be unsuitable.
C Correct. Because African Americans tend to be at risk for cardiovascular disease and hypertension, the nurse plans to maintain his blood pressure at or below the current recommendation by the American Heart Association.
D Incorrect. The older adult may not believe in this system, so the information can be irrelevant.