The nurse is assessing a client with osteoarthritis (OA) of the elbows and fingers.
Which of the following clinical manifestations should the nurse expect to find?.
Swan neck deformity and enlarged joints.
Heberden and Bouchard nodes.
Boutonniere and joint swelling.
Pain at rest and crepitus.
The Correct Answer is B
Choice A rationale:
Swan neck deformity is more commonly associated with rheumatoid arthritis, not osteoarthritis.
Choice B rationale:
Heberden and Bouchard nodes, which are hard, bony enlargements, are common clinical manifestations of osteoarthritis.
Choice C rationale:
Boutonniere deformity is also more commonly associated with rheumatoid arthritis. Joint swelling can occur in osteoarthritis, but it’s not as common as other symptoms.
Choice D rationale:
Pain at rest and crepitus (a grating or crackling sound or sensation) can occur in osteoarthritis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
This patient is unstable (low BP) and should be assigned to a more experienced nurse.
Choice B rationale:
This patient is stable and requires teaching, which is appropriate for a new graduate.
Choice C rationale:
This patient is unstable (confused, DKA) and should be assigned to a more experienced nurse.
Choice D rationale:
This patient is unstable (chest pain) and should be assigned to a more experienced nurse.
Correct Answer is D
Explanation
Choice A rationale:
Extreme nausea is a common side effect of hydroxychloroquine, but it’s not the most concerning.
Choice B rationale:
Pruritus is a possible side effect of hydroxychloroquine, but it’s not the most concerning.
Choice C rationale:
Diarrhea is a common side effect of hydroxychloroquine, but it’s not the most concerning.
Choice D rationale:
Blurry vision is a serious side effect of hydroxychloroquine and can indicate retinal damage.
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