While examining a client's temporomandibular joint, a nurse identifies pain, crepitus, and a popping sound. Because of these findings, to which of the following providers should the nurse request a referral for the client?

Otorhinolaryngologist

Physical therapist

Occupational therapist

Dentist

Answer and Explanation

The Correct Answer is D

A.   Deals with ear, nose, and throat issues but may not be the primary provider for temporomandibular joint (TMJ) disorders.
B.   Can be involved in the management of TMJ disorders, but the primary provider for initial assessment and diagnosis would likely be a dentist.
C.   While they may be involved in the rehabilitation process, the dentist is typically the primary provider for TMJ issues.
D.   Specializes in oral health and would be the appropriate provider to assess and manage TMJ disorders.

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Correct Answer is A

Explanation

A. Heat application can help relieve pain and stiffness associated with osteoarthritis.
However, it is important to use a heat pack with a temperature below body temperature to avoid skin burns.
B. Elevation is generally more relevant for conditions involving swelling, and it may not be the primary recommendation for osteoarthritis.
C. Acetaminophen is a common pain reliever, but other medications such as nonsteroidal anti-inflammatory drugs (NSAIDs) may also be used for osteoarthritis pain management.
D. Decreasing foods high in purines is more relevant for conditions like gout, which is not typically associated with osteoarthritis.

A. "Discomfort is expected in clients who are at the end-of-life." B. Opioid narcotics can cause loose stools and diarrhea in clients." C. Pain is expected in older adult clients." D. Clients are often afraid that opioid narcotics can result in addiction."

Correct Answer is D

Explanation

A. While discomfort can occur, it is not an expected or acceptable part of end-of-life care. Effective pain management is a key priority, and discomfort should be addressed promptly to ensure the client’s comfort and dignity.

B. While true, this statement does not directly address the expectation of discomfort at the end of life.
C. While pain can be present in older adults, the statement does not specifically address the end-of-life context.
D.Fear of addiction is a common concern among clients and families, even at the end of life. Nurses should educate clients and families about the importance of managing pain effectively and emphasize that addiction is not a concern when opioids are used appropriately for end-of-life care. This helps alleviate anxiety and encourages adherence to prescribed pain management regimens.

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While examining a client's temporomandibular joint, a nurse identifies pain, crepitus, and a popping sound. Because of these findings, to which of the following providers should the nurse request a referral for the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has osteoarthritis. Which of the following information should the nurse include in the teaching?

Correct Answer is A

Explanation

A nurse is reinforcing teaching with a newly licensed nurse about pain management during the end of life. Which of the following statements should the nurse make?

Correct Answer is D

Explanation

A nurse is caring for a client who has diabetes mellitus and had a below the knee amputation 2 days ago. Which of the following statements by the client should the nurse identify as an indication that the client has a body image disturbance?

A nurse is caring for a client who has osteoporosis and is taking calcium carbonate. The nurse should monitor the client for which of the following adverse effects?

A nurse is assisting with the care of a client who has developed cardiogenic shock. When evaluating circulation to the client’s brain, which of the following pulse sites should the nurse use?

A nurse is reinforcing teaching with a client about the physical effects of chemotherapy. Following the teaching, the nurse asks the client to describe one physical effect. The nurse is focusing on which element of the communication process?

A nurse is assisting in the plan of care for a client who has immunosuppression following chemotherapy. Which of the following interventions should the nurse include in the plan of care?

A nurse in a clinic is collecting data from an older adult client who has a new diagnosis of osteoarthritis. Which of the following medications should the nurse anticipate the provider will initially prescribe to the client?

A nurse is caring for a client. Exhibits A nurse is providing discharge teaching for a client who has dysphagia. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is caring for a client who has a prescription for scheduled opioid analgesia and notes a change in the client’s mental status. Which of the following actions should the nurse take? (Select all that apply.)