A nurse reviewing a client's healthcare record notes documentation that the client has Heberden nodes of the distal interphalangeal joints. Which disorder does the nurse determine that the client has?
A. Scoliosis
B. Osteoarthritis
C. Rotator cuff lesions
D. Carpal tunnel syndrome
Ans: B. Osteoarthritis
You might also like to view...
A client recovering from surgery to repair fractured bones in the face tells the nurse that dinner "tastes horrible." Which response by the nurse is most appropriate?
A) "The meal on your tray is the best the cafeteria has to offer today." B) "Let me see if I can order something else for you from the cafeteria." C) "You do not have to eat anything you don't want to." D) "The facial injuries are affecting your sense of taste and flavor."
What is the major difference in pathophysiology between asthma and COPD?
A. Asthma is a restrictive disorder and COPD is an obstructive disorder. B. COPD results in permanent airflow obstruction and asthma is a condition of re-versible airflow obstruction. C. COPD is caused by chronic exposure to inhalation irritants and the major cause of asthma is cigarette smoking. D. Asthma is the result of an inflammatory process and COPD is a result of inflam-matory, infectious, and hyperresponsiveness processes.
While lecturing on the psychodynamic theory behind symptoms of obsessive-compulsive disorder (OCD), a faculty member mentions reaction formation. Which of the statements below is characteristic of this theory?
A) When parents are too harsh during potty training, the child may feel dirty and ashamed. Then the child may deliberately soil his or her clothes as an act of rebellion. B) Fear in individuals with OCD will trigger a fear associated with unwashed hands that are very unlikely to cause real harm. However, they keep washing their hands frequently. C) Compulsions are rewarded by the immediate reduction of distress or anxiety. Clients carrying out the compulsive rituals never get to test out their faulty thinking that there is not a dire consequence if they make a mistake. D) Clients report their symptoms. Such report is retrospective and so may not be accurately recalled, and it yields subjective data that are vulnerable to bias and distortion.
During the initial assessment of patient with a probable spinal cord injury, the nurse performs a digital rectal examination. What is the best rationale for this examination?
A) Part of routine admission physical B) Checks for fecal impaction C) Assess for sensation or movement D) Preliminary for rectal medications