The nurse notes swelling and tenderness of the olecranon process during palpation. The client's chief complaint is pain upon movement of the forearm and wrist
The nurse would correctly suspect which of the following conditions in this situation? 1. Arthritis
2. Bursitis
3. Epicondylitis
4. Crepitus
3
Rationale 1: Rheumatoid arthritis may result in nodules in the olecranon bursa or along the extensor surface of the ulna. Nodules are firm, nontender, and not attached to the overlying skin.
Rationale 2: Bursitis is characterized by a painful, inflamed warm area.
Rationale 3: Lateral epicondylitis, also called tennis elbow, results from constant, repetitive movements of the wrist and/or forearm. Pain occurs when the client attempts to extend the wrist against resistance. Medial epicondylitis, also called pitcher's or golfer's elbow, results from constant, repetitive flexion of wrist. Pain occurs when the client attempts to flex the wrist against resistance.
Rationale 4: Crepitus is a grating sound caused by bone fragments in joints and is suggestive of degenerative disease, trauma, or inflammatory conditions.
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A) Decreased bleeding B) Increased hemoglobin C) Decreased joint pain D) Less fatigue
Culture and social class usually set precedent for different roles and responsibilities of each family member. The healthiest family is one in which the:
1. father assumes the role as breadwinner. 2. mother assumes the role as homemaker. 3. father or mother shares the roles of breadwinner and homemaker. 4. roles of breadwinner or homemaker can be shifted as needed.
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A) "You should talk to the doctor about that; the medications you're on can damage the fetus." B) "Do you want to talk to a counselor who can help you weigh the pros and cons of having your own child rather than adopting?" C) "I'll let the doctor know so you can discuss your medications. In the meantime, I'll give you a list of folate-rich foods you can add to your diet. D) "That's great. I've got a 4-year-old and a 2-year-old myself."
Which design is more suitable for the detailed exploration of a problem where little is already known about the problem?
a. Sequential informative b. Sequential explanatory c. Sequential exploratory d. Embedded