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A 65-year-old patient presents to the clinic with complaints of joint pain in the knees and hands. The patient states, "The pain gets worse when I walk or use my hands for too long, but it feels better when I rest." The nurse recognizes that the patient's symptoms are most consistent with which condition?

A.

Systemic lupus erythematosus (SLE)

B.

Osteoarthritis (OA)

C.

Rheumatoid arthritis (RA)

D.

Gouty arthritis

Answer and Explanation

The Correct Answer is B

A. Systemic lupus erythematosus (SLE): SLE can cause joint pain, but it is usually accompanied by systemic symptoms such as a butterfly rash, fatigue, and organ involvement.

B. Osteoarthritis (OA): Osteoarthritis pain typically worsens with activity and improves with rest. It commonly affects weight-bearing joints like the knees and hands.

C. Rheumatoid arthritis (RA): RA pain is usually worse in the morning and improves with movement. It also presents with joint swelling and systemic inflammation.

D. Gouty arthritis: Gout typically presents with acute, severe pain and redness, commonly affecting the big toe, rather than chronic worsening pain with activity.


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Related Questions

Correct Answer is A

Explanation

A. Blurred vision or difficulty distinguishing red from green: Ethambutol can cause optic neuritis, which may lead to vision changes, including blurred vision and difficulty distinguishing red from green. These symptoms should be reported immediately, as discontinuing the medication may be necessary to prevent permanent damage.

B. Increased thirst and frequent urination: These symptoms are more indicative of hyperglycemia or diabetes mellitus rather than a known adverse effect of ethambutol.

C. Nausea and vomiting: While nausea and vomiting are potential side effects of ethambutol, they are not as urgent as vision changes and do not typically require immediate medical attention.

D. Tingling sensations in the hands and feet: Peripheral neuropathy is more commonly associated with isoniazid rather than ethambutol.

Correct Answer is B

Explanation

A. "Handwashing is not necessary since impetigo is not contagious." Impetigo is highly contagious, and proper hand hygiene is essential to prevent its spread to others.

B. “I should apply Mupirocin (Bactroban) to the affected areas as prescribed." Mupirocin (Bactroban) is the standard topical antibiotic treatment for impetigo and should be applied as prescribed to reduce bacterial colonization and promote healing.

C. “I don't need to cover the lesions; they should be left open to the air." Covering the lesions can help prevent the spread of infection by minimizing contact with contaminated surfaces.

D. “I will let my child scratch the lesions to help them dry out faster." Scratching can worsen the infection, spread bacteria to other parts of the body, and lead to secondary infections.

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