A patient reports joint pain interfering with sleep and morning joint stiffness for the first hour after getting out of bed
Considering this report, what abnormal findings does the nurse anticipate during the examination?
a. Abrupt onset of local tenderness, edema, and decreased range of motion of the shoulder and hip bilaterally
b. Decreased range of motion of one hip and knee with pain on flexion and crepitus during movement of these joints
c. Erythema in one great toe, ankle, and lower leg that is painful to the touch
d. Hot, painful, deformed, and edematous wrists and peripheral interphalangeal joints bilaterally
ANS: D
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A 54-year-old man has just been diagnosed with small cell lung cancer. The patient asks the nurse why the doctor is not offering surgery as a treatment for his cancer. What fact about lung cancer treatment should inform the nurse's response?
A) The cells in small cell cancer of the lung are not large enough to visualize in surgery. B) Small cell lung cancer is self-limiting in many patients and surgery should be delayed. C) Patients with small cell lung cancer are not normally stable enough to survive surgery. D) Small cell cancer of the lung grows rapidly and metastasizes early and extensively.
When trying to explain to a patient diagnosed with a benign bone tumor, the nurse should emphasize the fact that benign tumors primarily
A) grow rapidly and can spread to the surrounding tissue. B) cause growth of other tumors as they spread their cancer cells into the bloodstream. C) tend to grow very slowly without destroying the supporting tissue. D) occur as a result of tumors in other areas of the body metastasizing into the bone.
A nurse is planning care for an asymptomatic child with a positive tuberculin test. What should the nurse include in the plan? Select all that apply
a. Administration of daily isoniazid (INH) b. Instructing family members about administration of INH to all close contacts of the child c. Administration of the Bacillus Calmette-Guérin vaccine d. Reporting the case to the health department e. Administration of INH and rifampin (Rifadin) simultaneously
Fertilization takes place when the sperm unites with the ovum
True False