The client's chief complaint is pain in the foot. The nurse notes a deviation of the great toe from the midline and crowding of the remaining toes. There is enlargement and inflammation noted in the area
The nurse would suspect which of the following conditions in this situation? 1. Flat foot
2. Gouty arthritis
3. Hammertoe
4. Bunion
4
Rationale 1: In pes planus, or flat foot, the arch of the foot is flattened, sometimes coming in contact with the floor.
Rationale 2: The toes are common sites for gouty arthritis. In this condition the metarsolphlangeal joint of the toe is swollen, hot, red, and extremely painful. There is no deviation of the toes.
Rationale 3: Hammertoe produces flexion of the proximal interphalangeal joint of a toe. The distal metarsophalalgeal joint hyperextends.
Rationale 4: A hallux valgus, or bunion, causes a deviation of the great toe from the midline, and crowding of the remaining toes. This crowding results in deviation. The metatarsophalangeal joint and bursa become enlarged and inflamed.
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a. Right occiput posterior fetal position during labor b. Bishop score of 10 prior to the induction of labor c. Gynecoid pelvis d. Absence of Ferguson's reflex
Which will the nurse include in the family assessment for the postpartum client? Select all that apply
1. Parental roles 2. Bonding behaviors 3. Sibling adjustment 4. Signs and symptoms of infection 5. Level of comfort with newborn care
The perinatal nurse describes the procedure for assessment of the presence of amniotic fluid in the vagina to the new nurse. With the Nitrazine test, the tape turns blue in the presence of amniotic fluid
A) True B) False