The nurse is assessing a client with osteoarthritis (OA) of the elbow's and fingers. Which of the following clinical manifestations should the nurse expect to find?
Pain at rest and crepitus
Swan neck deformity and enlarged joints
Herberden and bouchard nodes
Boutonniere and joint swelling
The Correct Answer is C
A. Pain at rest and crepitus are common symptoms of osteoarthritis, but the key manifestation in OA is typically pain that worsens with activity and improves with rest.
B. Swan neck deformity is typically seen in rheumatoid arthritis, not osteoarthritis.
C. Heberden and Bouchard nodes are characteristic findings in osteoarthritis. Heberden’s nodes occur at the distal interphalangeal (DIP) joints, and Bouchard’s nodes occur at the proximal interphalangeal (PIP) joints.
D. Boutonnière deformity and joint swelling are more typical of rheumatoid arthritis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. The prone position with the head of bed elevated is not the most effective position for easing discomfort due to CO2.
B. Placing the client in the right lateral position helps alleviate discomfort caused by CO2 retention after surgery, as it facilitates the release of trapped gas from the abdomen.
C. Deep breathing and coughing are helpful for preventing atelectasis and improving respiratory function but do not directly address discomfort from CO2.
D. Sims position is not the best position for relieving CO2-related discomfort after a cholecystectomy. The right lateral position is more beneficial in this case.
Correct Answer is {"dropdown-group-1":"A"}
Explanation
The patient has been diagnosed with cholecystitis and is scheduled for a Hepatobiliary iminodiacetic acid (HIDA) scan. It is essential to maintain the patient NPO (nothing by mouth) to prepare for the procedure, prevent further stimulation of the gallbladder, and reduce the risk of complications like aspiration during potential surgical intervention. Keeping the patient NPO is a priority in managing acute cholecystitis and preparing for diagnostic procedures like a HIDA scan.
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