During a history, the patient reports having gout. Based on this information, what findings does the nurse anticipate during a focused assessment?
a. Warm, tender, and deformed wrists and peripheral interphalangeal (PIP) joints bilaterally
b. Edema, warmth, and redness of one great toe and pea-like nodules in the ear lobes
c. Enlarged and tender PIP or distal interphalangeal (DIP) joints on one or several fingers
d. Tenderness with pronation and supination of the elbow and point tenderness on the lateral epicondyle
ANS: B
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Laura, a nurse manager, is meeting with the staff, which consists of nurses from the Veteran, Baby Boomer, Generation X, and Millennial generations
Which of the following is the best ap-proach to encouraging collaboration and feedback from everyone? a. Ask for volunteers to form a committee to explore the issue. b. Form a committee made up of at least one representative from each generation. c. Form a committee primarily composed of experienced, older nurses. d. Meet with each nurse individually to solicit feedback.
The manager is concerned that a staff nurse is not appropriately implementing evidence-based practice with patient care. What did the manager observe to come to this conclusion?
1. Clinical expertise is included. 2. Patient situations are individualized. 3. Data is researched before implementing. 4. Interventions are applied to all patients assigned.
The nurse is preparing to administer a medication and reviews the patient's chart for drug allergies, serum creatinine, and blood urea nitrogen (BUN) levels. The nurse's actions are reflective of which phase of the nursing process?
a. Assessment b. Evaluation c. Implementation d. Planning
Sam, a 50-year-old veteran with a traumatic brain injury (TBI), was recently diagnosed with Alzheimer's disease. His sister asks the nurse, "How can this be an accurate diagnosis? There is no incidence of this in our family."
Which of these teaching points is accurate for the nurse to share with Sam's sister? A. Alzheimer's disease doesn't tend to run in families. B. Alzheimer's disease is often misdiagnosed in patients with PTSD. C. Alzheimer's disease is more common in patients with TBI than in the general population. D. Alzheimer's disease in patients with TBI is not like traditional Alzheimer's disease.