Test Bank For - in Nursing, 1st Canadian Edition By Donita D'Amico

Test Bank For Health & Physical Assessment in Nursing, 1st Canadian Edition By Donita D'Amico Colleen Barbarito st al (All Chapters 1-27, 100% Original Verified, A+ Grade) All Chapters Arranged

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Chapter 27 MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question.1)A nurse notes edema in bilateral knees in an elderly client. The client has complaints of joint stiffness and pain upon awakening. What disorder would the nurse suspect based on this data?1)Rheumatoid arthritis 2)Osteoarthritis 3)Gouty arthritis 4)Tendonitis 1)2

Explanation:

1.Rheumatoid arthritis produces the same symptoms, but is more likely to be seen in younger adults.

2.Osteoarthritis causes swelling and joint deformity with early morning stiffness and pain.

3.Heat, redness, swelling, and pain on movement of joints is an indication of gouty arthritis.

4.These symptoms are not related to tendonitis.Diagnosis Analysis Objective 8 Page 790 Difficulty 2 2)A nurse is assessing deep tendon reflexes in an elderly client and notes that the brachial and patellar reflexes are 2+ bilaterally on the 0 to 4+ scale. What would the nurse do next?1)Document the findings as normal 2)Perform additional neurological assessments 3)Inquire about the client’s medication regimen 4)Check past medical history 2)1

Explanation:

1.Reflexes normally diminish with aging; therefore no additional subjective or objective data is required at this time.

2.This is not necessary because diminished reflexes are part of the normal aging process.

3.The diminished reflexes are a normal finding; therefore a review of the medications is not required.

4.Unnecessary with a normal assessment finding Assessment Application Objective 7 Page 792 Difficulty 1 3)A nurse is interviewing an elderly client who is concerned about “bumps on my body.” Moist, brownish, wart-like lesions are noted on the client's neck and chest. What condition would the nurse suspect?1)Actinic keratoses 2)Acrochordons 3 / 4

3)Seborrheic keratoses 4)Cherry angiomas 3)3

Explanation:

1.Actinic keratoses are normal aging growths that are red, yellow, or flesh-colored plaques appearing on exposed areas such as ears, cheeks, lips, nose, upper extremities, or balding scalp.

2.Acrochordons, also called skin tags, are pedunculated, flesh-colored lesions that occur on the neck, back, axillary area, and eyelids.

3.Seborrheic keratoses are benign, greasy, wart-like lesions that are yellow-brown in color. They commonly appear of the neck, chest, and back.

4.Cherry angiomas are vascular lesions that produce tiny, red spots usually on the trunk.Diagnosis Analysis Objective 6 Page 796 Difficulty 2 4)A nurse is examining the oral cavity of an elderly client with concerns of mouth soreness. Red, cracked skin is noted at each corner of the mouth. How should the nurse document this finding?1)Periodontal disease 2)Herpes infection 3)Cheilitis 4)Dehydration 4)3

Explanation:

1.Periodontal disease presents with redness, spongy swelling of the gums, and recession of the gums from the teeth.

2.Herpetic infections cause vesicular lesions.

3.Cheilitis, also called angular stomatitis, is seen in persons with poorly fitting dentures, or persons who are not swallowing saliva well due to stroke or muscular weakness, and can also be caused by candida infection.

4.A dry, red tongue with longitudinal furrows indicates dehydration.Diagnosis Analysis Objective 9 Page 796 Difficulty 1 5) A nurse is presenting information on the wear -and -tear theory of aging to her colleagues. What statement is consistent with this theory?1)"Longevity and healthy aging is due to the chromosomal differences between people." 2)"Strands of DNA that should remain separate are linked together causing cell death." 3)"Highly reactive molecules damage cellular components but antioxidants can neutralize these effects." 4)"Healthy behaviours have a positive effect by protecting cells and allowing cells to repair themselves." 5) 4

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