An older patient is diagnosed with osteoarthritis. How should the nurse explain this health problem to the patient?
1. A metabolic bone disease
2. Occurs from synovial inflammation
3. Most common in thin, small-built female patients
4. Involves erosion of joint cartilage with new bone formation in joint spaces
4
Rationale: Osteoarthritis is not a metabolic bone disease. Metabolic bone diseases include osteoporosis, osteomalacia, and Paget's disease.
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Allan is 48 years old and works as a business executive. One day after returning from a lunch meeting, Allan felt as though his office was spinning around him
His left ear had a feeling of fullness, and he heard ringing in it. He was so dizzy that he reclined in his office chair and closed his eyes, not wanting to move his head for fear the spinning would start again. The following evening, a similar event happened at home. His wife was concerned about the vertigo he was experiencing and how irritated he was by the tinnitus. When the same event happened 1 month later, Allan said his hearing was affected when the attack was at its worst. His wife insisted it was time he took some time off work to see his family physician. What inner ear disorder produces the triad of vertigo, tinnitus, and hearing loss? What is the pathophysiology of this condition? What are the sensory functions of the semicircular canals and the utricle and saccule? Allan's symptoms included a feeling of fullness in his ear accompanied by hearing loss. How does endolymph contribute to the function of hearing? What is the role of the endolymphatic potential?
The home care nurse is visiting a patient in the late stages of amyotrophic lateral sclerosis (ALS). Which statement by the patient indicates the acceptance of grief from the condition and progno-sis?
a. The patient often cries about his incapaci-ty. b. The patient makes jokes about this ap-proaching death. c. The patient talks with his family about his desires for his funeral. d. The patient begins to sleep for longer pe-riods of time during the day.
There are several key issues, activities, and products of Phase I developmental work for nursing interventions. What is an example of a key issue?
A) Conceptualization of the problem B) Critical synthesis of the relevant literature C) Concept and theory development D) Exploratory and descriptive research
Trauma to which site can result in a growth problem for children's long bones?
a. Matrix b. Connective tissue c. Calcified cartilage d. Epiphyseal cartilage plate