The client's chief complaint is tenderness and stiffness in the wrist and elbow when interviewed by the nurse. The client reports the discomfort is worsened with activity
The nurse would suspect which of the following conditions in this situation? 1. Carpal tunnel syndrome
2. Osteoarthritis
3. Crepitus of the wrists
4. Dupuytren's contracture
2
Rationale 1: Carpal tunnel syndrome is caused by compression of the median nerve.
Rationale 2: Arthritis typically causes pain and limitations in movement, but not numbness and tingling.
Rationale 3: Crepitus is a grating sound caused by bone fragments in joints and is suggestive of degenerative joint disease, trauma, or inflammatory conditions.
Rationale 4: Dupuytren's contracture involves inability to extend the fourth and fifth fingers, but is a painless, inherited disorder.
You might also like to view...
A pregnant woman is admitted to the high-risk OB unit and started on an IV of magnesium sulfate (Sulfamag). What assessment by the nurse is most important?
A. Deep tendon reflexes (DTRs) B. Fetal heart tones C. Serum calcium level D. Temperature
A patient with a history of seizure disorder is taking mephobarbital (Mebaral) as part of drug therapy for the disorder. Which of the following laboratory tests should be used to monitor for adverse drug effects?
a. Complete blood count (CBC) b. Uric acid level c. Salicylate level d. Electrolytes
A client with a history of previous myocardial infarction is admitted with heart failure. What statement made by this client would alert the nurse to suspect the occurrence of heart failure?
A. "It is getting more difficult to climb the stairs to reach the bathroom." B. "I think my dose of digoxin may need to be increased." C. "I have trouble remembering things recently." D. "I have noted a loss of appetite recently."
Which assessment on the third postpartal day would make you evaluate a woman as having uterine subinvolution?
A) Her uterus is 2 cm above the symphysis pubis. B) Her uterus is three finger widths under the umbilicus. C) Her uterus is at the level of the umbilicus. D) She experiences "pulling" pain while breastfeeding.