SOLVED653

1.The Assessment which has to performed to determine what has happened are Assess the patient for any tenderness and swelling in the joints , redness ,any changes in the range of motion at the joints and warmth .This can help to determine the pain is associated to skeletal issues or with other problems . Assess for the duration of pain or it is on and off or constant Collect history regarding any injury at the knee Assess the weight of the patient 2.The clinical manifestation like increasing pain, night time pain, stiffness is suggestive of osteoarthritis . 3.The additional diagnostic studies which can be ordered for this client are X ray knee to rule out any ligament ,tendon tear or none injury . DEXA to determine the density of the bone and to determine osteoporosis Anti CCP level ,this will be raised in case of arthritis Joint fluid analysing can be done to rule out any infection in joint. Increased ESR CRP Rheumatoid factorwill be positive 4.The priority nursing intervention for the patient are Encourage to rest adequately Administer analgesics to relieve pain and steroids to reduce inflammation. Encourage to do mild range of motion Apply ice pack to relieve
SCIENCE
HEALTH SCIENCE
NURSING

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