Practice Quiz

NCLEX-PN

Category - Health Promotion

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The nurse receives a call from a female client who has recently been diagnosed with osteoarthritis of the left knee. The client tells the nurse that her knee hurts and that she may not perform the recommended exercises. Which of the following responses by the nurse is the least appropriate?
  1. “Make sure that you have taken your pain medications before exercising.”
  2. “Maintain bed rest and do not perform any form of exercises until the pain subsides.”
  3. “You should exercise only to the point of pain.”
  4. “Alternate heat and cold applications to manage the increasing pain.”
Explanation
Answer: B - In clients with arthritis, it is recommended to perform range-of -motion exercises daily. During exacerbations of pain, instead of range-of-motion exercises, the client may perform isometric exercises to strengthen the muscles and enhance the circulation of blood, which promotes healing. These exercises are gentle and can be safely performed during exacerbations.
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