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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
The Sims position is not specifically recommended for easing discomfort after cholecystectomy.
Choice B rationale:
The right lateral position is not specifically recommended for easing discomfort after cholecystectomy.
Choice C rationale:
Deep breathing and coughing can help alleviate discomfort due to CO2 used during surgery by promoting the absorption and excretion of the gas.
Choice D rationale:
Placing the client in the prone position with the head of bed elevated is not specifically recommended for easing discomfort after cholecystectomy.
Correct Answer is D
Explanation
Choice A rationale:
Sleeping too many hours can indeed cause fatigue. However, this is not the most likely cause in this case as the patient has fibromyalgia, which is often associated with sleep disturbances.
Choice B rationale:
While a new mattress might improve sleep quality, there’s no information suggesting that the patient’s mattress is a problem.
Choice C rationale:
Using electronics at bedtime can interfere with sleep, but again, there’s no information suggesting that this is the case here.
Choice D rationale:
Fibromyalgia is often associated with sleep disturbances such as insomnia. This is the most likely cause of the patient’s fatigue.
Choice E rationale:
Worrying can indeed cause fatigue, but there’s no information suggesting that the patient has been worried about anything in particular.
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