A nurse is completing a physical assessment of a client who has early osteoarthritis. Which of the following manifestations should the nurse expect?

Ulnar deviation

Symmetric joints affected

Pain worsens with activity

Weight loss

Answer and Explanation

The Correct Answer is C

Choice A reason: Ulnar Deviation

Ulnar deviation, or the bending of the fingers towards the ulna (the outer bone of the forearm), is more commonly associated with rheumatoid arthritis rather than osteoarthritis. Rheumatoid arthritis typically affects the joints symmetrically and can lead to deformities such as ulnar deviation due to chronic inflammation.

Choice B reason: Symmetric Joints Affected

Symmetric joint involvement is characteristic of rheumatoid arthritis, not osteoarthritis. Osteoarthritis usually affects joints asymmetrically, meaning it can affect one joint more than the other. It commonly affects weight-bearing joints such as the knees, hips, and spine.

Choice C reason: Pain Worsens with Activity

Pain that worsens with activity is a hallmark symptom of osteoarthritis. This condition is caused by the breakdown of cartilage in the joints, leading to pain and stiffness, especially after physical activity. The pain typically improves with rest but can become more persistent as the disease progresses.

Choice D reason: Weight Loss

Weight loss is not a typical manifestation of osteoarthritis. In fact, being overweight or obese is a risk factor for developing osteoarthritis, particularly in weight-bearing joints. Weight management is often recommended to help reduce the stress on affected joints and alleviate symptoms.

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Free Nursing Study Resources

Correct Answer is ["15"]

Explanation

Step 1: Determine the dosage available per mL.

The available dosage is 75 mg per 5 mL.
To find the dosage per mL, divide 75 mg by 5 mL.
75 mg ÷ 5 mL = 15 mg/mL.
Result: 15 mg/mL.

Step 2: Determine how many mL are needed for the prescribed dose.

The prescribed dose is 225 mg.
To find the required mL, divide 225 mg by the dosage per mL (15 mg/mL).
225 mg ÷ 15 mg/mL = 15 mL.
Result: 15 mL.

So, the nurse should administer 15 mL of clindamycin palmitate oral suspension every 8 hours.

A. Hemorrhage B. Infection C. Urinary retention D. Pain

Correct Answer is A

Explanation

Choice A reason: Hemorrhage

Hemorrhage is a significant and immediate postoperative complication following a transurethral resection of the prostate (TURP). This procedure involves removing part of the prostate gland, which can lead to bleeding. Monitoring for signs of hemorrhage, such as a significant drop in blood pressure, increased heart rate, and visible blood in the urine, is crucial. Early detection and intervention are essential to manage bleeding and prevent severe complications. Hemorrhage can lead to hypovolemic shock if not addressed promptly, making it the priority complication to monitor for.

Choice B reason: Infection

Infection is a common postoperative complication, but it typically develops a few days after surgery rather than immediately. Signs of infection include fever, chills, and increased white blood cell count. While it is important to monitor for infection, it is not the immediate priority compared to hemorrhage. Preventive measures, such as maintaining sterile techniques and administering prophylactic antibiotics, can help reduce the risk of infection.

Choice C reason: Urinary retention

Urinary retention can occur after TURP due to swelling or blood clots obstructing the urethra. This condition can cause discomfort and increase the risk of bladder damage. Monitoring for urinary retention involves assessing the client’s ability to void and checking for bladder distention. While it is an important complication to monitor, it is not as immediately life-threatening as hemorrhage.

Choice D reason: Pain

Pain is a common postoperative symptom and should be managed effectively to ensure the client’s comfort and recovery. However, pain management is typically addressed through prescribed analgesics and is not considered a life-threatening complication. Monitoring for pain and providing appropriate pain relief are essential aspects of postoperative care, but they do not take precedence over monitoring for hemorrhage.

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A nurse is completing a physical assessment of a client who has early osteoarthritis. Which of the following manifestations should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["15"]

Explanation

A nurse is caring for a client who is postoperative following a transurethral resection of the prostate. Which of the following complications is the priority for the nurse to monitor for?

Correct Answer is A

Explanation

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