The nurse is providing care to a client whose chief complaint is pain in the right foot. During the physical assessment, the nurse notes a deviation of the great toe from the midline and crowding of the remaining toes
There is also enlargement and inflammation noted in the area. Based on this data, which condition does the nurse suspect?
1. Flat foot.
2. Gouty arthritis.
3. Hammertoe.
4. Bunion.
Correct Answer: 4
A hallux valgus, or bunion, causes a deviation of the great toe from the midline, and crowding of the remaining toes. The metatarsophalangeal joint and bursa become enlarged and inflamed. In pes planus, or flat foot, the arch of the foot is flattened, sometimes coming in contact with the floor. In gouty arthritis the metatarsophalangeal joint of the great toe is swollen, hot, red, and extremely painful. Hammertoe produces flexion of the proximal interphalangeal joint of a toe, while the distal metatarsophalangeal joint hyperextends.
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