You are working in a college health clinic and seeing a young woman with a red, painful, swollen DIP joint on the left index finger. There are also a few papules, pustules, and vesicles on reddened bases, located on the distal extremities. This would be consistent with which of the following?

A) Lyme disease
B) Systemic lupus erythematosus
C) Hives (urticaria)
D) Gonococcal arthritis


D) Gonococcal arthritis

The presentation of a monoarthritis in this age group should lead one to think of gonococcal disease. Skin findings are often seen in conjunction with arthritis. Lyme disease is associated with an expanding erythematous patch. Lupus is associated with a “butterfly” rash on the cheeks, while serum sickness and drug reactions can be associated with hives.

Nursing

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The nurse is preparing to conduct an intervention in the area of space that is considered social or public. Which of the following interventions would occur in this space?

a. Checking the client's IV infusion b. Leading a group discussion c. Rocking a baby d. Assessing the client's pain

Nursing

In the recovery room, if a woman is asked either to raise her legs (knees extended) off the bed or to flex her knees, place her feet flat on the bed, and raise her buttocks well off the bed, most likely she is being tested to see whether she:

a. Has recovered from epidural or spinal anesthesia. b. Has hidden bleeding underneath her. c. Has regained some flexibility. d. Is a candidate to go home after 6 hours.

Nursing

The nurse is teaching a group of nursing students about the use of antipsychotic drugs for antiemetic purposes. The nurse will explain that, when given as antiemetics, these drugs are given

a. in smaller doses. b. less frequently. c. with anticholinergics. d. with antihistamines.

Nursing

The nurse is concerned that a client with a gastrostomy feeding tube is developing a complication. Which of the following are considered complications associated with this type of feeding tube? (Select all that apply.)

1. Nausea 2. Vomiting 3. Aspiration 4. Abdominal distention 5. Leg cramps 6. Muscle pain

Nursing