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 B

Explanation

A. The clinical illness phase refers to the stage when signs and symptoms of the disease are present and identifiable.
B. The incubation period is the time between exposure to a pathogen and the onset of symptoms or signs of illness. In this case, the nurse is awaiting the potential development of infection after exposure to the hepatitis B virus.
C. The prodromal period is the time when initial symptoms begin to appear but are not yet specific or fully developed.
D. The convalescent period occurs after the acute phase of illness when the patient is recovering, which does not apply to the nurse's situation immediately after needlestick exposure.

A. urinary tract infection in a client who is sedentary B. vaginal canal infection in a postmenopausal woman C. respiratory infection contracted from a visitor D. wound infection caused by unwashed hands of a caregiver

Correct Answer is D

Explanation

A. A urinary tract infection in a sedentary client does not inherently suggest a hospital-acquired infection.
B. A vaginal canal infection in a postmenopausal woman does not inherently suggest a hospital-acquired infection.
C. A respiratory infection contracted from a visitor does not inherently suggest a hospital-acquired infection.
D. A wound infection caused by unwashed hands of a caregiver suggests a hospital- acquired infection due to the potential for contamination within the healthcare setting.

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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

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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