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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A rationale:
Elevating the legs can help reduce swelling, but placing pillows under the knees can potentially increase knee stiffness, which is not beneficial for osteoarthritis.
Choice B rationale:
While ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can help reduce pain and inflammation in osteoarthritis, it is not necessarily the first step in medication therapy. This can vary based on the individual’s condition and doctor’s recommendation.
Choice C rationale:
Physical activity is actually beneficial for osteoarthritis as it strengthens the muscles around the joints and improves joint flexibility. Limiting physical activity may lead to joint stiffness.
Choice D rationale:
Using heat or ice can help relieve discomfort caused by osteoarthritis. Heat can relax muscles and help lubricate the joint, and ice can help reduce joint swelling.

A. Avoid a high veal diet. B. Avoid a high bacon diet. C. Increase alcohol intake. D. Avoid a high fish diet. E. Recommend a starvation diet.

Correct Answer is ["A","B","D"]

Explanation

Choice A rationale:
High veal diet should be avoided as it is high in purines which can exacerbate gout.
Choice B rationale:
High bacon diet should be avoided as it is high in purines and sodium which can exacerbate gout.
Choice C rationale:
Increasing alcohol intake is not recommended as it can increase uric acid production, worsening gout.
Choice D rationale:
High fish diet should be avoided as it is high in purines which can exacerbate gout.
Choice E rationale:
Starvation diet is not recommended as rapid weight loss can increase uric acid levels, triggering a gout attack.

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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?.

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Naxlex Comprehensive Predictor Exams

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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?.