The nurse is assessing a patient's right knee. The assessment shows edema, tenderness, muscle spasms, and ecchymosis
The patient states that 2 days ago he ran 10 miles and now it hurts to stand up. Based upon these symptoms, the nurse bases her teaching upon the fact that she anticipates the patient has experienced what?
A) A first-degree strain
B) A second-degree strain
C) A first-degree sprain
D) A second-degree sprain
Ans: B
Feedback: A second-degree strain involves tearing of muscle fibers and is manifested by notable loss of load-bearing strength with accompanying edema, tenderness, muscle spasm, and ecchymosis. A first-degree strain reflects tearing of a few muscle fibers and is accompanied by minor edema, tenderness, and mild muscle spasm, without noticeable loss of function. A first-degree sprain is caused by tearing of a few ligamentous fibers and is manifested by mild edema, local tenderness, and pain that is elicited when the joint is moved, but there is no joint instability. A second-degree sprain involves tearing of nerve fibers and results in increased edema, tenderness, pain with motion, joint instability, and partial loss of normal joint function.
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After being discharged from the hospital after undergoing cardiothoracic surgery, the client asks the nurse when he can resume sexual activity. What is the best response by the nurse?
A) "I can't believe you are worried about that so soon after your surgery." B) "You won't be able to resume sexual activity until your 6-month checkup with the surgeon." C) "In about 2 to 4 weeks if you are able to climb stairs without difficulty breathing or chest pain." D) "You may have a difficult time resuming sexual activities after this surgery."
A healthy 60-year-old African-American woman regularly receives her health care at the clinic in her neighborhood. She is due for a mammogram
At her first clinic visit, her physi-cian, concerned about the 3-week wait at the neighborhood clinic, made an appointment for her to have a mammogram at a teaching hospital across town. She did not keep her appoint-ment and returned to the clinic today to have the nurse check her blood pressure. What would be the most appropriate thing for the nurse to say to this patient? 1. "Do you have transportation to the teaching hospital so that you can get your mammogram?" 2. "I am concerned that you missed your appointment; let me make you another one.". 3. "It is very dangerous to skip your mammograms; your breasts need to be checked.". 4. "Would you like for me to make an appointment for you to have your mammo-gram here?"
The nurse observes that a client with bipolar disorder is pacing in the hall, talking loudly and rapidly, and using elaborate hand gestures. The nurse concludes that the client is demonstrating which of the following?
a. Aggression b. Anger c. Anxiety d. Psychomotor agitation
The client asks the nurse how to control hypertension without taking medications. Which teaching topics would be appropriate for the nurse to include?(Select all that apply.)
1. Increase exercise 2. Decrease sodium intake 3. Stop smoking 4. Increase weight if overweight 5. Increase intake of dietary fat