Which physical change in the client with osteoarthritis indicates disease advancement?
A. The hands are involved.
B. The hip shows subluxation.
C. Hip involvement is bilateral.
D. The client is older than 65 years.
B
Partial joint dislocation or subluxation is an indication of progressive disease in which the repair processes stimulated by the continuing damage are unable to keep pace with the rapid degenera-tion. Severely damaged joints do not keep the proximal and distal bones in anatomic alignment.
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When assisting with bedside central venous catheter (CVC) placement, which nursing intervention is appropriate? Select all that apply
a. Don sterile gloves and mask (and possibly gown). b. Scrub the insertion site with antibacterial soap for 1 min. c. Verify that informed consent has been obtained. d. Place the patient in low-Fowler's position.
A nurse assessing an infant notes that the baby is jittery, has muscle twitches, and has jittery movement of the arms and legs. What action by the nurse is most appropriate?
A. Call the physician and request muscle relaxants. B. Ensure the infant is kept warm in a quiet environment. C. Facilitate completion of either a CT or an MRI scan. D. Request laboratory work to detect substances of abuse.
A nurse who provides care for older adults is aware of the high incidence of drug interactions in this population. When educating a group of seniors about the prevention of drug interactions, the nurse should encourage them to
A) take their medications with food unless otherwise instructed. B) consult their care provider before taking new over-the-counter medications. C) maintain a healthy, high-fluid diet, and high levels of physical activity. D) ensure that there is at least 90 minutes between doses of different drugs.
The nurse is caring for a client who is hearing-impaired and legally blind in his right eye. The client has just returned from cataract surgery on his left eye. The nurse recognizes that
a. the client's arm should be held when walking. b. verbal speech is useless in this situation. c. signals should be developed to indicate changes in pace or direction while walking. d. the client should be discouraged from reading lips.