[Expert Solution]: A nurse is caring for a an elderly client…

A nurse is caring for a an elderly client on the med surgical floor. 1 year ago today: At office visit client reports taking aspirin a couple times a day for pain the last console of weeks as discomfort has increased since last doctor visit8 months ago. Client states they were a runner and competed multiple 5k and marathonn races in their 30s and 40s. 6 months ago: At annual wellness visit, no dishnfiivatn findings noted in review of systems with exception of occasional knee and wrist pain easily with acetaminophen . Client will continue to month and request appointment if symptoms worsen. Day 1 1000 Client admitted to severe joint pain (level of lain 9/10), Stiffness, and swelling of knees and wrists. Reports increasing pain over last few ways and being unable to perform everyday tasks. Client lives along and is on a fixed income. Client errors 2 near falls in the last 2 weeks and difficulty standing up from a sitting position due to knee stiffness and pain. Day1 Creotius noted on passive ROM of all extremity joints. 6 months ago: At annual visit client complained of “feeling their age”. States that they wished they could be as active as they used to be in their 30s and 40s. Reports occasions knee and wrist pain but usually relieved with Tylenol and rest. No crepitus or pain noted in joints with passive ROM at this time. Day 1: Admission X-rays show non uniform joint space loss noted in ankles and hips. Subchondiral stenosis noted in wrists and a jokes . Wrist and ankle X-rays show small bone spurs in both wrist and right ankle For each potential provider order, specify anticipated, nonessential, or contraindicated NSAIDS Fall risk precautions Arthrocentesis Narcotic analgesics Physical therapy Serum Utica acid levels Mobility aid education C-reactive protein Increased bed rest Arthroplasty