During the history, a client reports joint pain interfering with sleep and morning joint stiffness for the first 1 to 2 hours after she gets out of bed. With this history, what abnormal findings would the nurse anticipate during the examination?
a. Abrupt onset of local tenderness, edema, and decreased range of motion of the shoulder and hip bilaterally
b. Decreased range of motion of one hip and knee with pain on flexion and crepitus during movement of the hip and knee joints on one side
c. Erythema in one great toe, ankle, and lower leg that are painful to the touch
d. Hot, painful, deformed, and edematous wrists and peripheral interphalangeal joints bilaterally
ANS: D
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A 56-year-old patient has come to the clinic for his routine eye examination and is told he needs bifocals. The patient asks the nurse what in his eye has changed so that he needs bifocals. What should the nurse respond?
A) "You know, you are getting older now, and we change as we get older." B) "The parts of our eyes age, just like the rest of us." C) "There is a gradual thickening of the lens of the eye, and it can limit accommodation of the eye." D) "The eye gets shorter, back to front, as we age, and it changes how we see things."
Which is the best method an occupational health nurse can use when assessing workplace hazards?
a. Review incident reports. b. Walk through the worksite. c. Interview key employees. d. Read the Standard Industrial Classification Code.
The nurse is providing teaching to a patient with heart failure who has been prescribed nifedipine, a calcium channel blocker. Which statement by the nurse is accurate?
a. "This medication dilates your coronary arteries." b. "This medication will help your kidneys get rid of fluid." c. "This medication reduces volume returning to your heart so it doesn't overstretch." d. "This medication reduces the resistance your heart has to pump against."
A patient is diagnosed with a benign skin lesion caused by a virus. For which skin condition should the nurse plan care for this patient?
a. Cyst b. Wart c. Keloid d. Pigmented nevi