You are reading the Physician's notes on your patient when you notice that the Dr. wrote that the patient has a Hallux Valgus deformity. What is this describing?
A bunion and bone deformity of the foot
Ulnar deviation
Nodules on the fingers
Bone spurs on either knee
The Correct Answer is A
A. Hallux Valgus refers to a deformity where the big toe (hallux) angles towards the second toe, often accompanied by a bony bump (bunion) on the side of the foot. This condition can cause pain, discomfort, and difficulty in finding properly fitting footwear.
B. Ulnar deviation refers to the movement of the wrist where the hand deviates towards the ulnar bone (the side of the little finger). It is often associated with rheumatoid arthritis and not related to foot deformities.
C. Nodules on the fingers can occur in various conditions, including rheumatoid arthritis (called rheumatoid nodules). This term does not relate to Hallux Valgus or any deformity of the foot.
D. Bone spurs are bony projections that develop along the edges of bones, often related to osteoarthritis. While they can occur in the knees, they are not associated with Hallux Valgus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Timolol is a beta-blocker used primarily to treat glaucoma by reducing intraocular pressure. It would not address the issues presented by this patient, who is likely dealing with alcohol-related complications.
B. Acetaminophen is used to relieve pain and reduce fever. While the patient reports a severe headache, administering acetaminophen may not be advisable due to potential liver damage from alcohol use, especially if the patient has not eaten properly. Chronic alcohol use can also increase the risk of hepatotoxicity with acetaminophen.
C. Aspirin is another pain reliever that could potentially be used for headaches. However, like acetaminophen, it carries risks for patients with alcohol use, particularly gastrointestinal bleeding. Additionally, aspirin should be used cautiously in cases of possible liver impairment.
D. A "banana bag" is a term for an intravenous solution often used in patients with alcohol use disorder to provide hydration and essential vitamins, especially thiamine, which can prevent Wernicke's encephalopathy. It typically contains normal saline or dextrose, electrolytes, and vitamins (including B1, B6, and B12).
Correct Answer is ["B","C","D","E"]
Explanation
A. Individuals with AB+ blood type can receive blood from any donor type (A, B, AB, or O) because they have no antibodies against A or B antigens. The safest practice is to provide the most compatible blood type, but AB+ recipients are considered universal recipients.
B. To minimize the risk of bacterial growth and transfusion reactions, packed red blood cells (PRBCs) should be transfused within 2 hours of starting the infusion. It’s important to monitor the patient closely during this time.
C. The first 15 minutes of a blood transfusion are critical for observing any immediate adverse reactions. The nurse should stay with the patient during this time to monitor vital signs and assess for any signs of a transfusion reaction.
D. A crucial safety step is to verify the blood product against the patient’s blood band with another registered nurse (RN). This helps prevent errors related to mismatched blood transfusions, which can be life-threatening.
E. Blood transfusion tubing should be primed with normal saline to ensure that the blood product flows properly and to maintain patency. Normal saline is used because it is compatible with blood products and does not cause hemolysis.
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