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 D

Explanation

Choice A rationale

Wearing an eye patch on one eye can help manage diplopia by eliminating one image, but it can also impair depth perception and peripheral vision, potentially increasing the risk of falls or accidents, especially with dysmetria. It's a temporary solution, not a primary long-term management strategy.

Choice B rationale

Heat, such as from a hot tub spa, can exacerbate symptoms in clients with multiple sclerosis by temporarily slowing nerve impulse conduction, leading to increased fatigue, weakness, and sensory disturbances. Therefore, recommending hot tubs is contraindicated due to potential symptom worsening.

Choice C rationale

While exercise is beneficial for maintaining mobility and function in MS, a vigorous exercise program can lead to fatigue, which is a common and debilitating symptom of MS. Activity should be balanced with rest to prevent overexertion and symptom exacerbation.

Choice D rationale

Fatigue is a predominant and often disabling symptom of MS. Implementing a schedule that includes periods of rest helps manage fatigue, conserve energy, and improve overall functional ability and quality of life for individuals with the disease. This is a crucial self-management strategy.

A. Third-degree AV block. B. First-degree AV block. C. Second-degree AV block Mobitz type 1 (Wenckebach). D. Second-degree AV block Mobitz type 2.

Correct Answer is C

Explanation

Choice A rationale

Third-degree AV block, also known as complete heart block, is characterized by a complete dissociation between atrial and ventricular activity, meaning P waves and QRS complexes occur independently without any consistent relationship. This rhythm does not exhibit such complete dissociation.

Choice B rationale

First-degree AV block is indicated by a prolonged PR interval (greater than 0.20 seconds) with every P wave followed by a QRS complex. The rhythm strip shows a progressive lengthening of the PR interval before a dropped QRS, which is not characteristic of first-degree block.

Choice C rationale

Second-degree AV block Mobitz type 1 (Wenckebach) is characterized by a progressive lengthening of the PR interval over several beats, eventually culminating in a P wave that is not followed by a QRS complex (a dropped beat), after which the cycle repeats. This is exactly what is shown in the telemetry strip.

Choice D rationale

Second-degree AV block Mobitz type 2 is characterized by a constant PR interval for conducted beats, but with intermittent dropped QRS complexes without prior PR interval prolongation. This differs from the progressive PR lengthening seen in the provided rhythm strip.

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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 nurse is presenting discharge instructions to a client who has multiple sclerosis (MS). The client reports symptoms of diplopia, dysmetria, and sensory change. Which of the following nursing statements are appropriate?

Correct Answer is D

Explanation

Identify the telemetry strip below.

Correct Answer is C

Explanation

A nurse is providing teaching to a client who has a family history of hypertension. The nurse should inform the client that his blood pressure of 124/79 mm Hg places him in which of the following categories?

A nurse is caring for a client who has heart failure and a prescription for digoxin 125 mcg PO daily. Available is digoxin PO 0.25 mg/tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is caring for a client who has right-sided acoustic neuroma resulting in impairment of cranial nerves IX and X. Which of the following actions should the nurse take?

Which data should the nurse assess for the client with a seizure disorder who is taking valproate (Depakote)?

A nurse in a provider's office is assessing a client. The nurse should identify that which of the following findings are manifestations of pulmonary tuberculosis? (Select all that apply.)

A nurse is teaching a client who has chronic tophaceous gout about his new prescription for allopurinol. The nurse should explain that the purpose of this medication is to reduce blood levels of which of the following substances?

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?

A client with subacute back pain asks the nurse about strategies to help keep the low back pain from becoming chronic. Which of the following responses is appropriate for the nurse to make at this time?

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?