A patient care technician is helping to feed your newly admitted patient breakfast.
As you enter the room to do your admission assessment, you look at her hands and understand she has a late-stage history of?

Rheumatoid Arthritis.

Osteoarthritis.

Gout.

Paget's disease.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Rheumatoid arthritis is a chronic autoimmune inflammatory disease that commonly affects the small joints of the hands and feet bilaterally and symmetrically. Characteristic late-stage findings include ulnar deviation of the fingers, swan-neck deformities (hyperextension of the PIP joint and flexion of the DIP joint), and boutonnière deformities (flexion of the PIP joint and hyperextension of the DIP joint) due to chronic synovial inflammation.

Choice B rationale

Osteoarthritis is a degenerative joint disease characterized by cartilage breakdown, primarily affecting weight-bearing joints but also the hands. Hand findings include Heberden's nodes (DIP joints) and Bouchard's nodes (PIP joints), which are bony enlargements. Unlike rheumatoid arthritis, osteoarthritis is typically asymmetrical and lacks significant inflammation.

Choice C rationale

Gout is a form of inflammatory arthritis caused by uric acid crystal deposition in joints. While it can affect the hands, it most commonly presents as acute, severe pain, swelling, and redness in a single joint, often the great toe. Chronic gout can lead to tophi, which are visible urate deposits, but not the specific deformities seen in rheumatoid arthritis.

Choice D rationale

Paget's disease of bone is a chronic disorder characterized by abnormal bone remodeling, leading to enlarged and misshapen bones. It primarily affects the skull, spine, pelvis, and long bones of the extremities. Hand involvement is uncommon and does not typically result in the characteristic joint deformities seen in the scenario.

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Correct Answer is C

Explanation

Choice A rationale

Bell's Palsy causes unilateral facial muscle weakness or paralysis, leading to difficulty closing the eye and impaired tear production on the affected side. A fan could further dry the compromised eye, potentially causing irritation and corneal damage.

Choice B rationale

Bell's Palsy primarily affects facial nerve (Cranial Nerve VII) function, which controls facial expressions, taste, and lacrimation. While some patients may experience mild dysphagia, aspiration precautions are not typically the primary or most common concern, as the vagus nerve (Cranial Nerve X) controls swallowing.

Choice C rationale

Due to paralysis of the orbicularis oculi muscle, patients with Bell's Palsy cannot adequately close their affected eye. This can lead to corneal dryness, irritation, and potential ulceration. Therefore, protecting the eye with artificial tears, eye patches, or ointments is crucial to prevent corneal damage.

Choice D rationale

Bell's Palsy is characterized by sudden facial paralysis and may cause discomfort or pain in some individuals, but it is not typically known for severe, debilitating pain requiring primary focus on pain relief. The primary interventions revolve around eye protection and managing the facial paralysis.

A. Sinus Rhythm. B. Sinus rhythm with first-degree AV block. C. STEMI. D. NSTEMI.

Correct Answer is B

Explanation

Choice A rationale

Sinus rhythm is characterized by a regular heart rate between 60 and 100 beats per minute, a P wave preceding every QRS complex, and a consistent PR interval. The rhythm strip shown does not meet the criteria for a normal sinus rhythm due to a prolonged PR interval, indicating a conduction delay.

Choice B rationale

Sinus rhythm with first-degree AV block is identified by a regular sinus rhythm with a prolonged PR interval (greater than 0.20 seconds). This indicates a delay in electrical impulse conduction from the atria to the ventricles through the AV node, but all atrial impulses are still conducted.

Choice C rationale

STEMI (ST-segment elevation myocardial infarction) is characterized by significant ST-segment elevation on the electrocardiogram, indicating acute myocardial injury. This specific rhythm strip does not display the characteristic ST-segment elevation associated with a STEMI.

Choice D rationale

NSTEMI (non-ST-segment elevation myocardial infarction) is typically characterized by ST-segment depression, T-wave inversion, or non-specific ST-T wave changes, without persistent ST-segment elevation. The provided rhythm strip does not exhibit these specific ischemic changes.

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A patient care technician is helping to feed your newly admitted patient breakfast. As you enter the room to do your admission assessment, you look at her hands and understand she has a late-stage history of?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient was diagnosed with Bell's Palsy. Which intervention should the nurse include in the care of this patient?

Correct Answer is C

Explanation

Identify the telemetry rhythm strip below.

Correct Answer is B

Explanation

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A patient care technician is helping to feed your newly admitted patient breakfast.
As you enter the room to do your admission assessment, you look at her hands and understand she has a late-stage history of?