Page 2137 - Saunders Comprehensive Review For NCLEX-RN

Box 60-5

Client Education for Rheumatoid Arthritis and
Degenerative Joint Disease

▪ Assist the client to identify and correct safety hazards in the home.
▪ Instruct the client in the correct use of assistive or adaptive devices.
▪ Instruct the client in energy conservation measures.
▪ Review the prescribed exercise program.

▪ Instruct the client to sit in a chair with a high, straight back.
▪ Instruct the client to use only a small pillow when lying down.
▪ Instruct the client in measures to protect the joints.
▪ Instruct the client regarding the prescribed medications.
▪ Stress the importance of follow-up visits with the primary health care provider.

Box 60-6

Risk Factors for Osteoporosis

▪ Cigarette smoking
▪ Early menopause
▪ Excessive use of alcohol
▪ Family history
▪ Female gender
▪ Increasing age
▪ Insufficient intake of calcium
▪ Sedentary lifestyle
▪ Thin, small frame

▪ White (European descent) or Asian race

Practice Questions

735. The nurse is conducting health screening for osteoporosis. Which client is at
greatest risk of developing this problem?
1. A 25-year-old woman who runs
2. A 36-year-old man who has asthma
3. A 70-year-old man who consumes excess alcohol
4. A sedentary 65-year-old woman who smokes cigarettes
736. The nurse has given instructions to a client returning home after knee
arthroscopy. Which statement by the client indicates that the instructions are
understood?
1. “I can resume regular exercise tomorrow.”

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