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A nurse in an outpatient clinic.

Exhibits

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.

Answer and Explanation

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:

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.
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.
- Heat and cold therapy help reduce pain and stiffness.
- Dietary restrictions (purines) and vaccine precautions are not priorities for osteoarthritis.
Parameters to monitor: 1. Joint deformities, 4. ESR
Rationale:
- Joint deformities: Monitor progression of structural joint changes.
- ESR: Although typically normal in OA, it can help distinguish from inflammatory arthritis if changes occur.

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Correct Answer is D

Explanation

A. Cold therapy, not heat, is recommended in the first 24–48 hours to reduce swelling.
B. The client is encouraged to use the affected hand for light activities, avoiding only heavy lifting or repetitive motions for 4–6 weeks.
C. Numbness and tingling should improve after surgery; persistent symptoms may indicate complications.
D. Elevating the hand helps reduce swelling and improves circulation, promoting healing.

A. "Have you taken your medication today?" B. "How long have you been hearing the voices?" C. "What are the voices telling you?" D. "I realize the voices are real to you, but I don't hear anything."

Correct Answer is C

Explanation

A. Asking about medication adherence is important but not the priority when assessing for immediate harm.
B. Asking how long the hallucinations have occurred is useful for history-taking but does not assess immediate risk.
C. The priority is safety. Asking what the voices are saying helps determine if the hallucinations are command hallucinations, which may instruct the client to harm themselves or others.
D. This response acknowledges the client's experience but does not assess for danger.

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A nurse in an outpatient clinic. Exhibits 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.

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Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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A nurse in an outpatient clinic.

Exhibits

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.