The nurse is examining a patient who is admitted to the emergency department with severe elbow pain. Of the following situations, which would cause the nurse to suspect a ligament tear or joint fracture?

a. Range of motion of the elbow is limited.
b. Joint motion is greater than normal.
c. The patient has arthritis.
d. The elbow cannot be moved (frozen).


ANS: B
Increased mobility (beyond normal) of a joint may indicate connective tissue disorders, ligament tears, or possible joint fractures. Limited range of motion often indicates inflammation such as arthritis, fluid in the joint, altered nerve supply, or contractures (frozen joints).

Nursing

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The nurse is providing care for a patient who has herpes zoster. What nursing diagnosis is a priority for this patient?

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The nurse traces the path of unoxygenated blood through the respiratory system to the distribution of oxygenated blood to the body. Place the events of reoxygenation in order. (Separate letters by a comma and space as follows: A, B, C, D)

a. Pulmonary artery takes blood to capillary system of the alveoli b. Blood enters the left atria via the pulmonary vein c. Blood enter the left ventricle d. Unoxygenated blood enters the right ventricle e. Blood enters the aorta f. CO2 diffused and oxygen infused into the blood in alveoli g. Unoxygenated blood enters the right atrium

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Which statement by the nurse is best when communicating with a patient with clinical depression?

a. "It's a beautiful day today; you'll feel better if you look out the window." b. "You're having a bad day; I'm sure you'll feel better soon." c. "Life seems overwhelming at times; would you like to discuss how you're feeling?" d. "You are very lucky to have such a supportive family."

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A woman in week 34 of pregnancy reports that she is very uncomfortable because of heartburn. The nurse would suggest that the woman:

a. Substitute other calcium sources for milk in her diet. b. Lie down after each meal. c. Reduce the amount of fiber she consumes. d. Eat five small meals daily.

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