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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is B
Explanation
A. Contact transmission involves direct or indirect contact with infected individuals or contaminated surfaces.
B. Lyme disease is transmitted to humans through the bite of infected ticks, making it a vectorborne disease.
C. Vehicle transmission involves non-living carriers, such as food, water, or inanimate objects, transmitting the infectious agent.
D. Droplet transmission involves respiratory droplets expelled by an infected individual during coughing, sneezing, or talking. Lyme disease is not transmitted through respiratory secretions.
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