Author Question: Which of the following client statements would indicate that interventions for osteoarthritis have ... (Read 32 times)

a0266361136 · **on:** Jul 22, 2018

Which of the following client statements would indicate that interventions for osteoarthritis have been successful?

1. I am sleeping throughout the night and have not missed any work because of knee pain..
2. I changed my work hours so now I work part time and have a nursing assistant who helps me bathe twice a week at home..
3. I am moving from my two-story house into the first floor of my daughter's home so I won't have to walk steps anymore..
4. I had to take early retirement and now stay at home all day and rest my legs..

Question 2

A client who was raped tells the nurse that she must not get pregnant. Which of the following can the nurse respond to this client?

1. You will not know for sure for at least a few more days..
2. There is a medication called Plan B, which is emergency contraception..
3. Are you sure the rapist did not use a condom?
4. The baby could always be given up for adoption..

morganmarie791 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

1. I am sleeping throughout the night and have not missed any work because of knee pain..

Rationale:
Expected outcomes for the care of the client with osteoarthritis include independence with activities of daily living, minimal lifestyle impact because of osteoarthritis, and controlled pain to allow for rest and sleep. Of the client statements provided, the one that would indicate the success of the interventions is the one about improved sleep and pain not interfering with work. The client who changed work hours and has a nursing assistant for bathing is experiencing a reduction in activities of daily living and a significant impact in lifestyle. The client who is moving in with a daughter is experiencing significant lifestyle impact. The client who retired early and stays at home all day and rests also has had a significant impact in lifestyle.

Answer to Question 2

2. There is a medication called Plan B, which is emergency contraception..

Rationale:
Female rape victims may request information about emergency contraception if the attacker did not use a condom. Plan B (levonorgestrel) is available over the counter and may be made available to the client at the facility performing the examination following the attack. The nurse should discuss the medication Plan B with the client. The nurse should not tell the client that it will be a few more days to know for sure if she is pregnant. The nurse should not question whether the rapist used a condom. The client does not want to get pregnant. The nurse should not talk about giving a baby up for adoption at t his time.