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 B

Explanation

Choice A rationale:
A dry, raised rash on the face is a common symptom of SLE, but it’s not the highest priority.
Choice B rationale:
Pitting edema in the ankles and feet could indicate kidney involvement, a serious complication of SLE that requires immediate medical attention.
Choice C rationale:
Joint pain is a common symptom of SLE, but it’s not the highest priority.
Choice D rationale:
Feelings of depression should be addressed, but they are not the highest priority in this context.

A. "I should avoid stressful situations.”. B. "I should increase my caffeine intake.”. C. "Treatment with steroids should provide a cure.”. D. "I will stop taking my duloxetine as soon as I feel better to avoid side effects.”.

Correct Answer is A

Explanation

Choice A rationale:
Avoiding stressful situations can help manage fibromyalgia symptoms as stress can exacerbate the condition.
Choice B rationale:
Increasing caffeine intake is not recommended as it can interfere with sleep, which is crucial for managing fibromyalgia.
Choice C rationale:
Steroids are not a standard treatment for fibromyalgia and they do not provide a cure.
Choice D rationale:
Duloxetine is an antidepressant used to treat fibromyalgia symptoms. It should not be stopped abruptly without consulting a healthcare provider.

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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?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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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?.