A 40-year-old man has come into the clinic with complaints of extreme pain in his toes. The nurse notices that his toes are slightly swollen, reddened, and warm to the touch. His complaints would suggest:
a. Osteoporosis.
b. Acute gout.
c. Ankylosing spondylitis.
d. Degenerative joint disease.
ANS: B
Clinical findings for acute gout consist of redness, swelling, heat, and extreme pain like a continuous throbbing. Gout is a metabolic disorder of disturbed purine metabolism, associated with elevated serum uric acid.
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The nurse administers a parasympathetic stimulator that only stimulates nicotinic receptors. What effects would the nurse expect to assess? (Select all that apply.)
A) Muscle contraction B) Slowing heart rate C) Increased bladder contraction D) Signs and symptoms of a stress reaction E) Release of epinephrine from adrenal medulla
Many older adults suffer from conditions such as colonic diverticula, hiatal hernia, and ulcerations that can cause occult bleeding. Older adults with these conditions should be observed for
a. leukemia. b. iron deficiency anemia. c. sickle cell anemia. d. polycythemia.
Upon review of the client's orders, the nurse notes that the client was recently started on an anticoagulant. What is an appropriate consideration when assisting the client with morning hygiene?
A) Provide the client with an electric shaver. B) Provide the client with a firm bristled toothbrush. C) Do not allow the client to shower. D) Avoid massaging the client's back with lotion.