The nurse is discussing the symptomology of osteoarthritis (OA) with a patient. The nurse would describe which common initial symptom of the disease?
1. A fine red rash on the elbow that is constant
2. Painful stiffness in the joints of the fingers
3. Popping sensation in the wrist joint when typing
4. Knee pain when the leg is at rest
2
Rationale 1: A red rash is not a typical indicator of OA.
Rationale 2: The onset of osteoarthritis (OA) is gradual and progressive. The symptoms that are noticed first are pain and stiffness in the affected joint or joints.
Rationale 3: Crepitus (grating, crackling, or popping sounds experienced at a joint) is a late sign of OA in a joint.
Rationale 4: Pain at rest is a late sign of OA in a joint.
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Which of the following patient problems is given the highest priority by the nurse using Maslow's hierarchy of needs?
a. Anxiety related to fear of the hospital b. Ineffective airway clearance related to retained secretions c. Fluid volume excess related to third spacing of fluid (edema) d. Ineffective thermoregulation related to fever
The nurse is caring for a school-age child with hyperthyroidism (Graves disease). Which clinical manifestations should the nurse monitor that may indicate a thyroid storm? (Select all that apply.)
a. Constipation b. Hypotension c. Hyperthermia d. Tachycardia e. Vomiting
A When offering assistance to a patient in a shelter for hurricane victims, the patient says, "I don't need your help." Using therapeutic communication, in which way should the nurse respond?
1. Move away from the patient. 2. Call the nursing supervisor. 3. Tell the patient that anger won't help her situation. 4. Tell the patient that anger is understandable in her situation.
List any substances that are in excess in Mrs. M's diet, even non-nutrients