Your patient is a 55-year-old male who presents with sudden, severely tender, swollen, erythematous elbow. The patient reports that he experienced similar symptoms in the past
You note the right elbow has a swollen, tender, soft 3 cm round nodule. The clinician should recognize these are signs and symptoms of:
A. Gouty arthritis
B. Rheumatoid arthritis
C. Epicondylitis
D. Reiter's syndrome
ANS: A
Gout is a classic cause of monoarthritis, and most cases involve a joint in the lower extremities. Acute pain usually develops in one joint, with swelling, redness, and warmth, and the severity of the pain increases rapidly. ROM of the affected joint(s) is limited by pain, and there is significant tenderness to the site. Patients who have had gout for an extended time often have gouty tophi, which are soft tissue nodules containing urate crystals. The olecranon bursa is a common site for tophi development, and the tophi are often painful.
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The nurse observes another nurse performing a procedure incorrectly. How would the nurse apply Dr. Watson's theory to this situation?
1. Avoid asking the errant nurse to perform this procedure again. 2. Talk with the nurse privately and review the procedure together. 3. Tell the nursing supervisor that the nurse needs a review class. 4. Speak with other nurses on the floor and devise a plan to help this nurse.
A number of changes are introduced to a unit, including changes to familiar clinical procedures and the use of PDAs to enable bedside documentation
You, as unit manager, anticipate which of the following will contribute most to complexity compression? a. Meaning of the change b. Pace of changes c. Previous experiences with change d. Confidence of the leader in the value of the change
The nurse explains that the term _____________ refers to the severity of illness
Fill in the blank(s) with correct word
The nurse prepares PCA for a postoperative client in the postanesthesia recovery unit (PACU). To rule out contraindications to therapy, which should the nurse assess before the client receives PCA? (Select all that apply.)
1. Consider client cognitive level. 2. Evaluate client communication. 3. Confirm two separate IV infusions. 4. Determine client physical ability. 5. Assess for history of constipation. 6. Verify client medication allergies.