The clinic nurse assesses a client with diabetes during a ...

[iveyjurea]

The clinic nurse assesses a client with diabetes during a checkup. The client also has osteoarthritis (OA). The nurse notes the client's blood glucose readings have been elevated. What question by the nurse is most appropriate?
 
  a. Are you compliant with following the diabetic diet?
  b. Have you been taking glucosamine supplements?
  c. How much exercise do you really get each week?
  d. You're still taking your diabetic medication, right?

Question 2

A nurse is working with a community group promoting healthy aging. What recommendation is best to help prevent osteoarthritis (OA)?
 
  a. Avoid contact sports.
  b. Get plenty of calcium.
  c. Lose weight if needed.
  d. Engage in weight-bearing exercise.

[xoxo123]

Answer to Question 1

ANS: B
All of the topics are appropriate for a client whose blood glucose readings have been higher than usual. However, since this client also has OA, and glucosamine can increase blood glucose levels, the nurse should ask about its use. The other questions all have an element of nontherapeutic communication in them. Compliant is a word associated with negative images, and the client may deny being noncompliant. Asking how much exercise the client really gets is accusatory. Asking if the client takes his or her medications right? is patronizing.

Answer to Question 2

ANS: C
Obesity can lead to OA, and if the client is overweight, losing weight can help prevent OA or reduce symptoms once it occurs. Arthritis can be caused by contact sports, but this is less common than obesity. Calcium and weight-bearing exercise are both important for osteoporosis.

[iveyjurea]

Thanks for the timely response, appreciate it

[kusterl]

Gracias!