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The clinic nurse assesses a client with complaints of pain and numbness in the left hand and fingers. Which question should the nurse ask the client?
- A. Do you smoke or use any type of tobacco products?'
- B. Do you have to wear gloves when you are out in the cold?'
- C. Do you do repetitive movements with your left fingers?'
- D. Do you have tremors or involuntary movements of your hand?'
Correct Answer: C
Rationale: Repetitive movements are a primary cause of carpal tunnel syndrome, causing pain and numbness. Smoking, cold sensitivity, and tremors are unrelated.
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What should the nurse emphasize when preparing to teach the child and family about the treatment for Legg-Calvé-Perthes disease?
- A. Once treatment starts, it will likely continue for about 6 months.
- B. The treatment goal is a pain-free joint with full range of motion.
- C. Activities requiring hip adduction are encouraged for joint placement.
- D. Most of the treatments will be completed while the child is hospitalized.
Correct Answer: B
Rationale: The primary goal of treatment for Legg-Calvé-Perthes disease is to achieve a pain-free joint with full range of motion.
The client is a 64-year-old male admitted to the hospital with severe pain in his right big toe, which is red and swollen. Which nursing care measure is most essential for the nurse to perform at this time?
- A. Use a bed cradle on the bed
- B. Put a bed board on the bed
- C. Obtain a heat lamp
- D. Prepare to catheterize the client
Correct Answer: A
Rationale: A bed cradle keeps bedding off the painful, swollen toe in gout, reducing discomfort.
On the basis of the nurse's knowledge of the client's culture and beliefs, which statement regarding the health-seeking behavior is probably most accurate?
- A. Home remedies have been unsuccessful, and the condition threatens the client's self-image.
- B. The power to cure comes from physicians and is passed to nurses.
- C. Both of the above
- D. None of the above
Correct Answer: A
Rationale: Hispanic clients may initially rely on home remedies due to cultural practices, seeking medical care when these fail, especially if pain (e.g., bursitis) impacts self-image or function.
The 50-year-old female client is being evaluated for osteoporosis. Which data should the nurse assess? Select all that apply.
- A. Family history of osteoporosis.
- B. Estrogen or androgen deficit.
- C. Exposure to secondhand smoke.
- D. Level and amount of exercise.
- E. Alcohol intake.
Correct Answer: A,B,C,D,E
Rationale: Family history, hormonal deficits, smoking, exercise, and alcohol are all risk factors for osteoporosis, requiring comprehensive assessment.
The nurse is caring for the client following a knee arthroscopy. What information should the nurse teach? Select all that apply.
- A. Elevate the involved extremity on pillows for 24 to 48 hours.
- B. Apply an ice pack continually to the involved joint for 24 hours.
- C. Report severe joint pain immediately to the health care provider.
- D. Resume usual activities to minimize joint stiffness and swelling.
- E. Treat pain with a mild analgesic such as acetaminophen.
Correct Answer: A,C,E
Rationale: A. Elevation will help to decrease edema. C. Severe joint pain may indicate a possible complication and should be reported immediately. E. Usually a mild analgesic such as acetaminophen (Tylenol) is sufficient for pain control following a diagnostic arthroscopy.