Author Question: A 64-year-old man was diagnosed 19 months ago with bilateral osteoarthritis (OA) in his knees, and ... (Read 89 times)

imowrer · **on:** Jun 25, 2018

A 64-year-old man was diagnosed 19 months ago with bilateral osteoarthritis (OA) in his knees, and has come to his family physician for a checkup.

The client and his physician are discussing the effects of his health problem and the measures that the man has taken to accommodate and treat his OA in his daily routines. Which of the following statements by the client would necessitate further teaching?
A)
I'm really trying to lose weight, and I've been able to lose 15 lb this year so far.
B)
I've been doing muscle-strengthening exercises twice a week at the community center near my house.
C)
Even though I don't like it, I've been using my walker to take some of the weight off my knees.
D)
I've been avoiding painkillers because I know they can mask damage that I might be inflicting on my knees.

Question 2

A man's primary care physician has characterized his skin lesion as being a temporary eruption but has cautioned him against repeated rubbing or scratching as to avoid lichenization. What is the most likely categorization of the man's skin lesion?

A)
A blister
B)
A corn
C)
A callus
D)
A rash

Jane · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Ans:
D

Feedback:

Analgesics are a common and appropriate treatment for OA, and it would be unnecessary and inappropriate to forego pain control in order to maximize pain signals from affected joints. Weight loss, the use of assistive devices, and muscle-strengthening exercises are appropriate treatments for OA.

Answer to Question 2

Ans:
D

Feedback:

A rash is a temporary eruption of the skin that can result in excoriation or lichenization if rubbed or scratched excessively. Corns, calluses, and blisters are not noted to share these characteristics.