Your patient is a 43-year-old female golfer who complains of arm pain. On physical examination, there is point tenderness on the elbow and pain when the patient is asked to flex the wrist against the clinician's resistance. These are typical signs of:
A. Carpal tunnel syndrome
B. Osteoarthritis of the wrist
C. Epicondylitis
D. Cervical osteoarthritis
ANS: C
Epicondylitis involves inflammation of the tendon/tendon insertion of the forearms. This tendinitis results in either lateral elbow pain associated with overuse of the wrist extensors (tennis elbow) or in medial elbow pain associated with overuse of involving wrist flexion and rotation (golfer's elbow). Point tenderness is noted at the medial or lateral epicondyle. The onset and severity of pain is usually gradual and progressive but may have relatively acute onset following an activity involving significant repetitive use. The pain may be referred to the forearm and is increased by the offending motion (wrist flexion, extension, or rotation). Pain is usually greater when the motion is made against resistance.
You might also like to view...
After a pain assessment, the nurse promptly administers an ordered analgesic because:
a. the physician has ordered it. b. it is an efficient use of time. c. unrelieved pain can cause setbacks. d. it meets the goals of the nursing care plan.
A nurse manager plans the fiscal budget to include salaries for two RNs for two 12-hour shifts with a patient census of 6 in the short-stay observation room
The nurse manager reviews the budget report 3 months later and notes that the salary expenses are higher than was budgeted because of higher-than-planned RN staff salaries. This additional RN staff is necessary to meet patient care needs because the census has remained constant at 10 patients rather than the 6 projected when the budget was developed. The difference between the planned budget and the actual cost is known as: a. revenue. b. variance. c. monitoring. d. capital expenditures.
The nurse assigns ancillary personnel the task of giving a client a pre-procedure enema. Which of the following statements made by the personnel requires immediate follow-up by the nurse?
1. "I use all of the soap provided in the kit." 2. "The soapy water just came right back out." 3. "An enema is intended to clean out the rectum." 4. "The client was able to hold the enema for 5 minutes."
The nurse is educating a patient about testicular self-examination. Which information is most important for the nurse to include?
a. Report any lumps larger than a pea to the health care provider. b. Perform weekly self-examinations on the same day of the week. c. Perform self-examinations after bathing when scrotal skin is relaxed. d. Pinch skin for at least 5 seconds.