A nurse notices that a patient has a structural curvature of the spine associated with vertebral rotation. Which condition will the nurse most likely find documented in the patient's medical record?

a. Scoliosis
b. Arthritis
c. Osteomalacia
d. Osteogenesis


ANS: A
Scoliosis is a structural curvature of the spine associated with vertebral rotation. Osteogenesis imperfecta is an inherited disorder that makes bones porous, short, bowed, and deformed. Osteomalacia is an uncommon metabolic disease characterized by inadequate and delayed mineralization, resulting in compact and spongy bone. Arthritis is an inflammatory joint disease characterized by inflammation or destruction of the synovial membrane and articular cartilage and by systemic signs of inflammation.

Nursing

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A nurse is planning the care of a patient who has been admitted to the medical unit with a diagnosis of multiple myeloma. In the patient's care plan, the nurse has identified a diagnosis of Risk for Injury. What pathophysiologic effect of multiple myeloma most contributes to this risk?

A) Labyrinthitis B) Left ventricular hypertrophy C) Decreased bone density D) Hypercoagulation

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A client who has been divorced for 1 year begins to take classes at a community college and has enrolled the children in daycare

When documenting the client's actions, which phrase is the most appropriate for the nurse to use? A) Turning point in life B) Maturational crisis C) Situational crisis D) Responding to stress

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Before applying a new, dry dressing to a client's surgical incision, the nurse should remove and discard the current dressing with gloved hands and then:

a. cleanse the skin around the incision with hydrogen peroxide b. remove soiled gloves and apply clean gloves before proceeding c. notify the health care provider if any irritation is evident d. apply a new dressing

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