The nurse is assessing the hands of a client and notes bony enlargements of the client's joints, as pictured here. The joints are hard, painless, and some of the fingers are deviated from the midline. The nurse suspects these findings are a result of which of the following?

Normal joint wear and tear

Osteomyelitis

Uric acid deposits

Rheumatoid Arthritis

Answer and Explanation

The Correct Answer is D

A.   Normal joint wear and tear typically do not result in bony enlargements, deviation of fingers, or hard, painless joints.
B.   Osteomyelitis is a bone infection and would present with symptoms such as fever, localized pain, swelling, and redness over the affected bone, rather than bony enlargements of the joints.
C.   Uric acid deposits are associated with conditions like gout and would typically manifest as acute attacks of severe pain, redness, and swelling in the affected joint, rather than the chronic, painless joint deformities seen in the scenario described.
D.   Rheumatoid Arthritis (RA) is a chronic autoimmune disorder characterized by inflammation of the synovium, leading to joint deformities, bony enlargements, and deviation of fingers. Joints affected by RA are typically hard, painless, and may exhibit ulnar deviation.

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Correct Answer is D

Explanation

A. Urine culture and sensitivity tests typically take longer than 30 minutes to yield results.
B. While some preliminary results may be available within 24 hours, the full culture and sensitivity testing usually take longer.
C. Waiting 7-10 days for results would be excessive for a urine culture and sensitivity test.
D. Typically, it takes 48-72 hours to obtain the growth and sensitivity results for a urine culture, allowing time for bacterial growth and sensitivity testing.

A. droplet precautions B. neutropenic precautions C. airborne precautions D. contact precautions

Correct Answer is D

Explanation

A. Droplet precautions are used for diseases transmitted via respiratory droplets, such as influenza or pertussis.
B. Neutropenic precautions are implemented to protect clients with compromised immune systems from exposure to pathogens, typically in the environment.
C. Airborne precautions are used for diseases transmitted via small droplet nuclei that remain suspended in the air, such as tuberculosis or measles.
D. Contact precautions are appropriate for clients infected or colonized with multidrug-resistant organisms like VRE, requiring the use of gloves and gowns when providing care to prevent transmission.

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The nurse is assessing the hands of a client and notes bony enlargements of the client's joints, as pictured here. The joints are hard, painless, and some of the fingers are deviated from the midline. The nurse suspects these findings are a result of which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The health care provider ordered a urine specimen for culture and sensitivity. After the nurse collects the specimen, the client asks, "When will I know the results of the test?" Which of the following is the best response?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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