Question Of The Day: Musculoskeletal Disorders

Q. A nurse is managing the care of a client with osteoarthritis. Appropriate treatment strategies for osteoarthritis include:

A. administration of opioids for pain control.
B. administration of nonsteroidal anti-inflammatory drugs (NSAIDs) and initiation of an exercise program.
C. administration of monthly intra-articular injections of corticosteroids.
D. vigorous physical therapy for the joints.

Correct Answer: B

Explanation: NSAIDs are routinely used for anti-inflammatory and analgesic effects. NSAIDs reduce inflammation, which causes pain. Opioids aren't used for pain control in osteoarthritis. Intra-articular injection of corticosteroids is used cautiously for an immediate, short-term effect when a joint is acutely inflamed. Normal joint range of motion and exercise (not vigorous physical therapy) are encouraged to maintain mobility and reduce joint stiffness.