A patient complaining of pain in her joints has just returned from having an x-ray. The x-rays indicate a narrowing of the joint spaces. This is indicative of which of the following disease processes?
A) Fibromyalgia
B) Scleroderma
C) Gout
D) Osteoarthritis
Ans: D
Feedback: Osteoarthritis is characterized by a progressive loss of joint cartilage, which appears on an x-ray as a narrowing of joint space.
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A client is admitted with end-stage cirrhosis and severe vomiting. Which problem should the nurse monitor the client most carefully for?
a. Intrahepatic bile stasis b. Bleeding esophageal varices c. Decreased excretion of bilirubin d. Accumulation of ascites in the abdomen
What is involved in naturalistic qualitative research?
A) Involves deductive processes B) Takes places in the field. C) Focuses on the idiosyncrasies of those being studied. D) Attempts to control the research context to better understand the phenomenon being studied.
The wife of a client who is dying says to the nurse, "I am able to take off the 6 months from work our doctor feels that my husband will live, but what if he lives beyond that time?" Which therapeutic response should the nurse make?
A. "Only you and your husband can determine how you should best allocate your work leave." B. "Your husband has managed to be active up to now, so he could live longer than predicted, but his actual lifespan remains unclear." C. "Are there other options for you in taking work leave? Perhaps you could simply reduce your work hours at first so that you can extend your compassionate leave." D. "Why not write down the pros and cons of taking work leave all at once and any other options and then decide with your husband and family which would be most helpful?"
The nurse is reinforcing teaching provided to a patient about gastrointestinal infections. Which symptom should the patient state which indicates that teaching has been effective?
a. Vomiting b. Flank pain c. Constipation d. Cloudy urine