The nurse is assessing a client with osteoarthritis (OA) of the elbows and fingers.

Which of the following clinical manifestations should the nurse expect to find?.

Swan neck deformity and enlarged joints.

Heberden and Bouchard nodes.

Boutonniere and joint swelling.

Pain at rest and crepitus.

Answer and Explanation

The Correct Answer is B

Choice A rationale:
Swan neck deformity is more commonly associated with rheumatoid arthritis, not osteoarthritis.
Choice B rationale:
Heberden and Bouchard nodes, which are hard, bony enlargements, are common clinical manifestations of osteoarthritis.
Choice C rationale:
Boutonniere deformity is also more commonly associated with rheumatoid arthritis. Joint swelling can occur in osteoarthritis, but it’s not as common as other symptoms.
Choice D rationale:
Pain at rest and crepitus (a grating or crackling sound or sensation) can occur in osteoarthritis.

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Correct Answer is D

Explanation

Choice A rationale:
Ibuprofen is not the first step in medication therapy for OA. It can be used for pain relief but is not recommended during pregnancy.
Choice B rationale:
Restricting all physical activity is not recommended. Moderate exercise can help maintain joint flexibility and strength.
Choice C rationale:
Pregnancy can impact OA due to weight gain and hormonal changes. However, keeping weight gain within recommended limits can help manage symptoms.
Choice D rationale:
Pain from OA may increase due to pregnancy weight gain. This is an important point to include in teaching.

A. Tophi presentation on the joints. B. Heberden's nodes. C. Butterfly rash on the face. D. Raynaud's phenomenon. E. Photosensitive skin.

Correct Answer is ["C","D","E"]

Explanation

Choice A rationale:
Tophi presentation on the joints is associated with gout, not SLE1.
Choice B rationale:
Heberden’s nodes are associated with osteoarthritis, not SLE1.
Choice C rationale:
A butterfly rash on the face is a common manifestation of SLE1.
Choice D rationale:
Raynaud’s phenomenon can occur in SLE1.
Choice E rationale:
Photosensitive skin is a common symptom of SLE1.

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The nurse is assessing a client with osteoarthritis (OA) of the elbows and fingers. Which of the following clinical manifestations should the nurse expect to find?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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The nurse is assessing a client with osteoarthritis (OA) of the elbows and fingers.

Which of the following clinical manifestations should the nurse expect to find?.