A 65-year-old patient presents to the clinic with complaints of joint pain in the knees and hands. The patient states, "The pain gets worse when I walk or use my hands for too long, but it feels better when I rest." The nurse recognizes that the patient's symptoms are most consistent with which condition?

Systemic lupus erythematosus (SLE)

Osteoarthritis (OA)

Rheumatoid arthritis (RA)

Gouty arthritis

Answer and Explanation

The Correct Answer is B

A. Systemic lupus erythematosus (SLE): SLE can cause joint pain, but it is usually accompanied by systemic symptoms such as a butterfly rash, fatigue, and organ involvement.

B. Osteoarthritis (OA): Osteoarthritis pain typically worsens with activity and improves with rest. It commonly affects weight-bearing joints like the knees and hands.

C. Rheumatoid arthritis (RA): RA pain is usually worse in the morning and improves with movement. It also presents with joint swelling and systemic inflammation.

D. Gouty arthritis: Gout typically presents with acute, severe pain and redness, commonly affecting the big toe, rather than chronic worsening pain with activity.

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Correct Answer is B

Explanation

A. Tophi deposits and podagra: These findings are associated with gout, not osteoarthritis. Tophi are urate crystal deposits, and podagra refers to gout affecting the big toe.

B. Heberden's nodes and Bouchard's nodes: Heberden’s nodes are bony growths at the distal interphalangeal (DIP) joints, while Bouchard’s nodes affect the proximal interphalangeal (PIP) joints. These are characteristic of osteoarthritis.

C. Ulnar deviation and joint subluxation: Ulnar deviation and joint subluxation are commonly seen in rheumatoid arthritis, not osteoarthritis.

D. Swan-neck deformity and Boutonnière deformity: These deformities are typical of rheumatoid arthritis, not osteoarthritis.

A. "Psoriasis is a contagious skin disorder, so I should avoid close contact with others." B. "Stress and hormonal changes can trigger flare-ups of my condition.” C. “I will need to use antiviral medication to have some relief of the symptoms." D. “I should use hot water and harsh soaps to remove the thick scales.”

Correct Answer is B

Explanation

A. "Psoriasis is a contagious skin disorder, so I should avoid close contact with others." Psoriasis is an autoimmune condition, not an infectious disease, so it is not contagious. Close contact does not spread the condition.

B. "Stress and hormonal changes can trigger flare-ups of my condition." Psoriasis flare-ups can be triggered by stress, hormonal changes, infections, and certain medications. Managing stress and other triggers can help reduce flare-ups.

C. “I will need to use antiviral medication to have some relief of the symptoms." Psoriasis is not caused by a viral infection, so antiviral medications are not an effective treatment. Treatment usually involves topical corticosteroids, phototherapy, and immunomodulatory medications.

D. “I should use hot water and harsh soaps to remove the thick scales.” Hot water and harsh soaps can worsen skin irritation and dryness, leading to increased inflammation and exacerbation of psoriasis symptoms. Instead, lukewarm water and mild, fragrance-free soaps should be used.

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A nurse is teaching a patient diagnosed with psoriasis about disease management. Which statement made by the patient indicates a correct understanding of the condition?

Correct Answer is B

Explanation

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