A client with osteoarthritis of the knees and hips returns for a 3-month follow-up with the provider.The nurse calculates that the client's BMI is now 22.The reports starting a water aerobics and step aerobics program three times per week.The client is also using hot packs for edema for 20 minutes and cold packs for pain for 40 minutes daily.After evaluating the client's actions,the nurse plans which follow-up interventions? Select all that apply.
A) Reinforce the correct use of hot packs.
B) Educate on low-impact exercise modes.
C) Explain the risk of injury using cold packs.
D) Counsel on continued weight loss.
E) Congratulate on starting water aerobics.

Question

Quizplus · Accepted Answer

A) Congratulate the client on starting water exercise. Also congratulate on weight loss. A BMI of 22 is ideal. Do not encourage continued weight loss. Educate the client that using cold packs for over 30 minutes may cause skin injury. Reinforce that hot packs are used to decrease pain and ice packs are used for edema (swelling). Educate on the negative effect that high-impact step aerobics may have on the joints.
B) Congratulate the client on starting water exercise. Also congratulate on weight loss. A BMI of 22 is ideal. Do not encourage continued weight loss. Educate the client that using cold packs for over 30 minutes may cause skin injury. Reinforce that hot packs are used to decrease pain and ice packs are used for edema (swelling). Educate on the negative effect that high-impact step aerobics may have on the joints.
C) Congratulate the client on starting water exercise. Also congratulate on weight loss. A BMI of 22 is ideal. Do not encourage continued weight loss. Educate the client that using cold packs for over 30 minutes may cause skin injury. Reinforce that hot packs are used to decrease pain and ice packs are used for edema (swelling). Educate on the negative effect that high-impact step aerobics may have on the joints.
D) Congratulate the client on starting water exercise. Also congratulate on weight loss. A BMI of 22 is ideal. Do not encourage continued weight loss. Educate the client that using cold packs for over 30 minutes may cause skin injury. Reinforce that hot packs are used to decrease pain and ice packs are used for edema (swelling). Educate on the negative effect that high-impact step aerobics may have on the joints.
E) Congratulate the client on starting water exercise. Also congratulate on weight loss. A BMI of 22 is ideal. Do not encourage continued weight loss. Educate the client that using cold packs for over 30 minutes may cause skin injury. Reinforce that hot packs are used to decrease pain and ice packs are used for edema (swelling). Educate on the negative effect that high-impact step aerobics may have on the joints.

A Client with Osteoarthritis of the Knees and Hips Returns