Family Nurse Practitioner Exam

What initial treatment would you recommend for a 65-year-old with a swollen knee after gardening?

1. Quadriceps-strengthening exercises followed by cold packs

2. Rest the joint and apply cold packs intermittently

3. Passive range of motion and cold packs

4. A warm bath with packs on the knee

The correct answer is: Rest the joint and apply cold packs intermittently

The recommended initial treatment for a swollen knee, particularly after an activity such as gardening, emphasizes the importance of rest and the application of cold packs. Resting the knee helps to limit further strain and potential injury to the joint, allowing for healing. Cold packs are effective in reducing inflammation and numbing pain, thus providing immediate relief from swelling and discomfort. This approach aligns with the commonly recommended R.I.C.E. method (Rest, Ice, Compression, Elevation) for acute soft tissue injuries. While other options may include beneficial activities or treatments, they do not prioritize the immediate need to manage inflammation and pain effectively. For example, quadriceps-strengthening exercises and passive range of motion could exert unnecessary stress on an already swollen joint. Similarly, while warmth can be soothing in certain contexts, it may exacerbate swelling soon after an injury. Thus, resting the joint and using cold therapy represents the most appropriate initial strategy for managing a swollen knee in this scenario.