While assessing a patient's left knee for range of motion, the nurse hears clicking. The patient says that at times the knee "locks." The nurse would conduct additional assessment for which condition?
1. Rheumatoid arthritis
2. Fluid in the knee
3. Dislocation
4. Damage to the meniscus
4
Rationale 1: Clicking sounds are not typically associated with rheumatoid arthritis.
Rationale 2: Clicking sounds are not typically associated with fluid in the knee; however, the knee may "lock" due to pain.
Rationale 3: If the patient's knee were dislocated, the patient would experience pain, and deformity would likely be obvious.
Rationale 4: Clicking sounds with knee movement in addition to the patient's description of "locking" may indicate damage to the meniscus.
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A mother is distraught after learning that her son has Hirschsprung disease. She asks the nurse how she could have prevented this from occurring. Which response by the nurse is most appropriate?
A. "Did you use recreational drugs during pregnancy?" B. "How much alcohol did you consume while pregnant?" C. "Nothing; this disease seems to be familial in origin." D. "You probably did not get enough folic acid in your diet."
During the interview, your patient states that his chest pain started before lunch, when he was painting his house, and it lasted about 15 minutes
According to the patient, the pain was relieved when he rested in a chair, but it reoccurred twice today along with tingling in his left arm while he was walking.You would report the duration of the patient's chest pain as a. acute. c. severe. b. intermittent. d. sudden.
An RN working the 11 to 7 shift on Saturday night receives the following phone call from a recently discharged client, "I'm breastfeeding and my nipples are getting very sore. My baby is nursing every 4 hours for about 10 minutes on each side
Do you have any suggestions for me?" What is the best response to this inquiry? a. "Feed from only one breast each feeding to allow each side time to heal." b. "It may help to nurse your baby more fre-quently and alternate positions." c. "Remove a nipple from one of the sample bottles you received and use it to protect your nipple while you nurse." d. "Try giving your baby formula for a day until your nipples heal."
A nurse has been contacted to consult with the coordinating health organization of the U.N. This means that the nurse will be working with
A. WHO B. Global Health Center C. World Bank D. CDC