A nurse in an outpatient clinic.
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
The Correct Answer is []
Potential Condition: Osteoarthritis
Actions to take:
Instruct the client to apply topical analgesics
Instruct the client to apply heat and cold
Parameters to monitor
Joint deformities
ESR
Rationale:
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Condition: 1. Osteoarthritis
Rationale:-
Gradual onset of joint pain over 2 years, affecting weight-bearing (knee) and commonly used joints (wrist). Crepitus noted in affected joints. No systemic symptoms (no rashes, no fever). ANA negative, ESR normal, uric acid mildly elevated but within normal limits, less consistent with gout or SLE. Family history is not strongly suggestive of autoimmune disease.
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Nursing actions to take: 3. Instruct the client to apply topical analgesics, 5. Instruct the client to apply heat and cold
Rationale:-
Topical analgesics help relieve localized joint pain.
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Heat and cold therapy help reduce pain and stiffness.
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Dietary restrictions (purines) and vaccine precautions are not priorities for osteoarthritis.
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Parameters to monitor: 1. Joint deformities, 4. ESR
Rationale:-
Joint deformities: Monitor progression of structural joint changes.
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ESR: Although typically normal in OA, it can help distinguish from inflammatory arthritis if changes occur.
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Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D","E"]
Explanation
A. Giving one simple direction at a time helps prevent confusion.
B. Refuting delusions can increase distress. Instead, redirect the client calmly.
C. Offering too many choices can overwhelm clients with dementia; instead, provide limited, structured options.
D. Reinforcing orientation to time, place, and person supports cognitive function.
E. Establishing eye contact enhances communication and provides reassurance.
Correct Answer is D
Explanation
A. There is no minimum age requirement; minors can be organ donors with parental consent.
B. A person can remove their name from an organ donor list at any time.
C. Nurses can serve as witnesses for organ donation consent forms.
D. Organ donation wishes should be documented in writing, such as on a driver’s license or an advance directive.
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