Author Question: The nurse, caring for a patient who was laid off from work prior to the hospitalization, realizes ... (Read 18 times)

MGLQZ · **on:** Jul 22, 2018

The nurse, caring for a patient who was laid off from work prior to the hospitalization, realizes this patient is at risk for which of the following:

a. disturbed sensory perception c. disturbed thought processes
b. social isolation d. risk for injury

Question 2

An elderly client with bilateral osteoarthritis of the knees tells the nurse that she knows she needs to lose weight but exercise will just make her knees ache more. Which of the following should the nurse instruct this client?

1. Follow a reduced calorie eating plan for several months before attempting exercise
2. Discuss knee replacement surgery with her physician
3. Exercise the muscles so that they will protect the joints
4. Stretch the muscles because that is the only form of exercise that improves osteoarthritis

shailee · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B
Factors related to Social Isolation include communicable diseases, hospitalization, and unemployment.

Answer to Question 2

3. Exercise is an important part of treatment for osteoarthritis because the muscles will protect the joints.

Rationale:
One common misconception regarding exercise is that it will cause an increase in joint pain in the client with osteoarthritis. Exercise strengthens the muscles and helps protect the joints. This is what the nurse should instruct the client. The nurse should not counsel the client to follow a reduced calorie eating plan for several months before attempting exercise. The client may or may not want to have knee replacement surgery. Stretching is just one type of exercise that will help a client with osteoarthritis. The other components, strengthening and aerobic exercise, can be obtained through walking, swimming, and isometric, isotonic, and resistive exercises.