A nurse is discussing the symptomology of osteoarthritis (OA) with a client. The nurse shows an understanding of the disease process when identifying which of the following as an initial symptom of the disease?
1. Painful stiffness in the joints of the fingers
2. Popping sensation felt in the wrist joint when typing
3. Knee pain when leg is at rest
4. A fine red rash on the elbow that is constant
Painful stiffness in the joints of the fingers
Rationale: The onset of osteoarthritis (OA) is gradual and progressive. The symptoms that are noticed first are pain and stiffness in the affected joint or joints. Crepitus (grating, crackling, or popping sounds experienced at a joint) and pain at rest are late signs of OA in a joint. A red rash is not a typical indicator of OA.
You might also like to view...
A urology nurse is caring for a male patient admitted to the unit with bladder distention from prostatic hypertrophy. The health care provider orders placement of an indwelling urinary catheter
The nurse and urologist are both unsuccessful in catheterizing this patient due to the prostatic obstruction. What approach does the nurse anticipate the health care provider using to drain the patient's bladder? A) Insertion of a suprapubic catheter B) Scheduling the patient immediately for surgery to relieve the bladder obstruction C) Application of warm compresses to the perineum to assist with relaxation, which will result in the patient voiding on his own D) Medication administration to relax the bladder muscles and attempting catheterization in 6 hours
A 7-year-old child who is otherwise healthy is receiving mecasermin [Increlex] replacement therapy to treat severe primary deficiency of insulin-like growth factor-1 (IGF-1). The child de-velops tonsillar hypertrophy
The nurse anticipates that the provider will recommend: a. antibiotics. b. reducing the dose of mecasermin. c. discontinuing the mecasermin. d. tonsillectomy.
The nurse caring for an older adult patient being treated for influenza is especially careful to monitor and document assessment data related to
a. cognitive function. b. respiratory function. c. fluid intake. d. urinary output.
A client is hospitalized on a psychiatric unit secondary to a suicide attempt. He has been diagnosed with depression. He has been consistently depressed
When assessing the client, which of the following would alert the nurse that the client's suicidal risk has worsened? A) He tells the nurse that he feels more depressed than ever. B) He is lethargic, remaining isolated from other clients. C) He says he feels better as he interacts more with other clients. D) His energy level and degree of depression remain the same.