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 B

Explanation

A. Colchicine is specific for gout and does not treat osteoarthritis.
B. Colchicine works by reducing inflammation and pain during a gout flare-up, but it does not prevent future attacks or lower the level of uric acid in the blood. Therefore, it is not a long-term solution for gout.
C. Colchicine does not affect the formation of uric acid crystals, which are the cause of gout. It only reduces the inflammation caused by the crystals in the joints.
D. Colchicine may take several days to weeks to reduce the swelling and pain of a gout attack, depending on the severity and duration of the flare-up. It is not a fast- acting medication.

A. Acetaminophen B. Celecoxib C. Hyaluronic acid D. Ibuprofen

Correct Answer is A

Explanation

A. Acetaminophen is often the initial choice for managing osteoarthritis pain in older adults due to its lower risk of gastrointestinal and cardiovascular side effects.
B. Celecoxib and ibuprofen are NSAIDs that may be considered but are associated with a higher risk of side effects, especially in older adults.
C. Hyaluronic acid injections are typically considered if oral medications are not effective, and the patient has persistent symptoms.
D. Ibuprofen is an NSAID and is associated with increased risk of gastrointestinal bleeding and renal impairment hence is not considered as a first line management of osteoarthritis.

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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 about colchicine with client who has gout. Which of the following statements by the client indicates understanding of the teaching?

Correct Answer is B

Explanation

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?

Correct Answer is A

Explanation

A nurse is caring for a client who has acute osteomyelitis. The client asks the nurse to explain how she developed the infection. The nurse should respond that which of the following organisms is the most common cause?

A nurse is contributing to the plan of care for a client who had a total joint replacement and is two days postoperative. Which of the following resources should the nurse consult to determine the client’s activity level for the day?

A nurse provides a back massage as palliative care to an unconscious client who is grimacing and restless. Which of the following indicates a therapeutic response? (Select all that apply.)

A nurse is contributing to the plan of care for an older adult client who has a WBC of 2000/mm3 after three rounds of chemotherapy. Which of the following interventions should the nurse include in the plan?

A nurse is changing the dressing on a client’s wound. The nurse should recognize that which of the following findings is an indication of a wound infection?

A nurse is reinforcing teaching about prosthesis care for a client following a below-the- knee amputation. Which of the following statements should the nurse include in the teaching?

A nurse is caring for a client who is at risk for shock. Which of the following findings should the nurse expect?

A nurse assisting in the collection of data for a client who is in the early compensatory stage of hypovolemic shock. Which of the following findings should the nurse expect?