A nurse is collecting data from a client about range-of-motion for various joints. Which of the following should the nurse identify as an example of a ball and socket joint?

Ankle

Shoulder

Knee

Metacarpophalangeal

Answer and Explanation

The Correct Answer is B

A. Ankle is incorrect. The ankle is a hinge joint, which allows for movement in one plane (up and down), not the multidirectional movement characteristic of a ball and socket joint.

B. Shoulder is correct. The shoulder joint is a ball and socket joint. This type of joint allows for movement in multiple directions, including flexion, extension, abduction, adduction, rotation, and circumduction.

C. Knee is incorrect. The knee is a hinge joint, allowing for flexion and extension but not the wide range of motion that a ball and socket joint offers.

D. Metacarpophalangeal is incorrect. The metacarpophalangeal joints (knuckles) are condyloid joints, which allow for movement in two planes but not the full rotational movement of a ball and socket joint.

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Correct Answer is C

Explanation

A. Decreased body temperature is incorrect. A thyroid storm is characterized by a hypermetabolic state, so a decreased body temperature would be inconsistent with the condition. In fact, patients with thyroid storm typically have increased body temperature (fever).

B. Increased incisional drainage is incorrect. While increased drainage could indicate a wound infection or other surgical complications, it is not a primary indicator of thyroid storm, which involves a hyperactive thyroid response.

C. Hypertension is correct. Thyroid storm is a severe, acute exacerbation of hyperthyroidism, and it is associated with hypertension, tachycardia, fever, and other symptoms of sympathetic nervous system overactivity.

D. Bradycardia is incorrect. Bradycardia would be expected in conditions like hypothyroidism, not thyroid storm. Thyroid storm typically presents with tachycardia, which is a hallmark sign.

A. A nurse discusses a client's postoperative complications during shift report. B. A facility risk manager includes information from a client's medical record in a when report. C. A nurse tells the chaplain that a client has a new diagnosis of cancer. D. A social worker reads a client's chart as a follow-up to a requested consultation.

Correct Answer is C

Explanation

A. "A nurse discusses a client's postoperative complications during shift report.": This is not a breach of confidentiality if the information is shared within the context of a healthcare team for the purpose of providing care. Confidentiality is maintained as long as the information is shared appropriately.

B. "A facility risk manager includes information from a client's medical record in a when report.": This is also not necessarily a breach of confidentiality if the report is used for quality improvement, risk management, or other institutional purposes where confidentiality protocols are followed.

C. "A nurse tells the chaplain that a client has a new diagnosis of cancer.": This is a breach of confidentiality. Information should only be shared with others involved in the patient's care or if the patient has given explicit consent. Discussing a client's diagnosis with a chaplain or anyone not directly involved in the care plan is an unauthorized disclosure.

D. "A social worker reads a client's chart as a follow-up to a requested consultation.": This is not a breach of confidentiality if the social worker is following established protocols for patient care and is authorized to access the client's medical records for consultation purposes.

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A nurse is collecting data from a client about range-of-motion for various joints. Which of the following should the nurse identify as an example of a ball and socket joint?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is monitoring a client who is postoperative following a thyroidectomy. Which of the following findings should indicate to the nurse that the client is developing a thyroid storm?

Correct Answer is C

Explanation

A nurse is reviewing client confidentiality with a group of newly licensed nurses. Which of the following situations should the nurse include as an example of a breach in confidentiality?

Correct Answer is C

Explanation

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