Author Question: The nurse is examining a client with a chief complaint of pain in the right great toe. The nurse ... (Read 79 times)

jhjkgdfhk · **on:** Jun 25, 2018

The nurse is examining a client with a chief complaint of pain in the right great toe. The nurse notes hardened nodules on the lateral aspect of the toe, as well as redness and swelling. Based on this data, which condition does the nurse suspect?

1. Bunion.
2. Synovitis.
3. Hammertoe.
4. Gout.

Question 2

The nurse notes an exaggerated lumbar curve while inspecting the spine of a client. Which term will the nurse use when documenting this finding in the medical record?

1. Lordosis.
2. Scoliosis.
3. Kyphosis.
4. Flattened curve.

akemokai · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 4
The manifestations are consistent with a diagnosis of gout. Gout is a form of arthritis. It results from an excess of uric acid. The uric acid crystals deposit in the affected joints. The findings describe tophi, which are the hardened nodules associated with the altered purine metabolism of gout. Bunions are thickening and inflammation of the bursa of the joint of the great toe. Synovitis occurs in the knee. In hammertoe the metatarsophalangeal joint of the toe hyperextends with flexion of the interphalangeal joint of the toe.

Answer to Question 2

Correct Answer: 1
Lordosis is an exaggerated lumbar curve and is often present in pregnancy, obesity, or other skeletal changes. The spine leans to the left or right in a list, and a line drawn from the thoracic one (T1) vertebrae does not fall between the gluteal cleft. Scoliosis results when the spine curves to the right or left. It is noted in the thoracic region. Kyphosis is an exaggerated thoracic dorsal curve that causes asymmetry between the sides of the posterior thorax. A flattened lumbar curve is a concave curvature of the lumbar areas and occurs when lumbar muscles spasm.