Nokea
What best describes the manifestations of OA?
- A. Smaller joints are typically affected first.
- B. There is joint stiffness after periods of inactivity.
- C. Joint stiffness is accompanied by fatigue, anorexia, and weight loss.
- D. Pain and immobility may be aggravated by falling barometric pressure.
Correct Answer: B
Rationale: OA stiffness occurs after inactivity.
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To assess a patient's ability to follow commands, the nurse should:
- A. Ask the patient to perform simple tasks, such as closing their eyes or squeezing their hand.
- B. Measure the patient's body temperature.
- C. Inspect the patient's skin for abnormalities.
- D. Check the patient's respiratory rate.
Correct Answer: A
Rationale: Following commands is assessed by asking the patient to perform simple tasks. Body temperature, skin inspection, and respiratory rate are unrelated to this assessment.
How can the nurse examine the client for stiffness and rigidity of the neck?
- A. By positioning the client flat on the bed for at least three hours.
- B. By moving the head and chin of the client towards the chest.
- C. By asking the client to bend and pick up small and large objects on the floor.
- D. By introducing a painful stimulus on the neck.
Correct Answer: B
Rationale: This movement checks for neck stiffness indicative of neurological issues.
Radicular pain that radiates down the buttock and below the knee, along the distribution of the sciatic nerve, generally indicates what?
- A. Cervical disc herniation
- B. Acute lumbosacral strain
- C. Degenerative disc disease
- D. Herniated intervertebral disc
Correct Answer: D
Rationale: Sciatica is caused by nerve root compression from a herniated disc.
A young male client visits a nurse with a complaint of chronic tension headaches. Which of the following is the most appropriate nursing instruction to manage the client?
- A. Instructing the client to monitor for signs of bruising or bleeding
- B. Suggesting eating and swallowing techniques that reduce the potential for aspiration
- C. Counseling on alternate therapies
- D. Advising the client to change sleeping positions frequently
Correct Answer: C
Rationale: Alternate therapies, such as relaxation techniques, can help manage tension headaches.
Mrs. Rollo has been instructed to check her urine with a multiple test stick. For which abnormal finding should she be particularly alert and report to you when the test is positive?
- A. Glucose
- B. pH of 5
- C. Protein
- D. Ketones
Correct Answer: C
Rationale: Proteinuria can indicate kidney damage, a potential side effect of gold therapy.