A 68-year-old woman has come in for an assessment of her rheumatoid arthritis, and the nurse notices raised, firm, nontender nodules at the olecranon bursa and along the ulna. These nodules are most commonly diagnosed as:

a. Epicondylitis.
b. Gouty arthritis.
c. Olecranon bursitis.
d. Subcutaneous nodules.


ANS: D
Subcutaneous nodules are raised, firm, and nontender and occur with rheumatoid arthritis in the olecranon bursa and along the extensor surface of the ulna.

Nursing

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The nurse instructs the client with a suprapubic catheter to notify the physician if he/she experiences

A. Pain on urination. B. Temperature of 99.6°F. C. Bladder pain. D. Urine output of 1800 mL.

Nursing

The nurse is performing an examination of the anus and rectum. Which of these statements is correct and important to remember during this examination?

a. The rectum is approximately 8 cm long. b. The anorectal junction cannot be palpated. c. Above the anal canal, the rectum turns anteriorly. d. No sensory nerves are in the anal canal or rectum.

Nursing

A client is recovering from a gastrojejunostomy (Billroth II) for treatment of duodenal ulcer. About 20 minutes after lunch, the client develops dizziness, weakness, palpitations, and the urge to defecate

To avoid recurrence of these symptoms, which measures does the nurse teach the client? A) Increase fluid intake with meals and lie down 30 minutes after meals. B) Eat a high-carbohydrate, low-fat diet in six small feedings a day. C) Decrease fluid intake with meals and lie down after meals. D) Drink fruit juice after each meal.

Nursing

A couple who have sought fertility counseling have been told that the man's sperm count is very low. The nurse advises the couple that spermatogenesis is impaired when which condition occurs?

1. The vas deferens is ligated. 2. Male obesity is present. 3. The prostate gland is enlarged. 4. The flagella are segmented.

Nursing