A 60-year-old woman has pain on motion in her fingers and asks the nurse whether this is just a result of aging. The best response by the nurse should include what information?

Correct Answer: D

Rationale: The correct answer is D: Changes in the cartilage and bones of joints may cause symptoms of pain and loss of function in some people as they age. Rationale: - This response is correct because it acknowledges the physiological changes that occur in joints as people age, such as degeneration of cartilage and bones leading to pain and reduced function. - Age-related joint pain is often attributed to osteoarthritis, a common condition characterized by wear and tear on the joints over time. - Understanding these age-related changes can help individuals manage their symptoms effectively through lifestyle modifications, exercise, and medical interventions. Why other options are incorrect: - Option A is incorrect because while joint pain can be common with aging, it is not always associated with functional limitations for all individuals. - Option B is incorrect as age-related joint pain is not always solely related to previous trauma or infection but can also be due to natural degenerative processes. - Option C is incorrect as not all cases of joint pain in older adults are indicative of a systemic arthritis affecting all joints progressively. Educational context: Educating patients about the normal changes that occur in the musculoskeletal system as they age is crucial for promoting self-awareness and proactive management of symptoms. By understanding the factors contributing to joint pain, individuals can make informed decisions about lifestyle choices, seek appropriate medical advice, and engage in strategies to maintain joint health and mobility as they grow older.

Correct Answer: D

Rationale: The correct answer is D) Protect the hands and feet from cold exposure and injury. In CREST syndrome associated with scleroderma, one of the hallmark symptoms is sclerodactyly, which refers to thickening and tightening of the skin on the fingers and toes. This can lead to increased sensitivity to cold temperatures and a higher risk of injury due to compromised blood flow. Therefore, it is crucial for the patient to protect their hands and feet from cold exposure and trauma to prevent complications such as digital ulcers or worsening Raynaud's phenomenon. Option A) Maintain a fluid intake of at least 3000 mL/day is not directly related to managing the symptoms of CREST syndrome. While hydration is important for overall health, it is not specifically indicated in this case. Option B) Avoid exposure to the sun or other ultraviolet light is more relevant for conditions like systemic lupus erythematosus where photosensitivity is a concern. In CREST syndrome, sun exposure is not a primary factor in symptom management. Option C) Monitor and keep a log of daily blood pressure (BP) is not directly related to the management of CREST syndrome. While monitoring BP is important in general health maintenance, it is not a priority in this context. Educationally, it is essential for nurses to understand the specific symptoms and management strategies for different conditions. Teaching patients about protective measures, such as avoiding cold exposure and injury, is crucial in preventing complications and promoting optimal quality of life for individuals with CREST syndrome associated with scleroderma.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.