Author Question: Which patient seen by the nurse in the outpatient clinic is most likely to require teaching about ... (Read 128 times)

folubunmi · **on:** Jun 25, 2018

Which patient seen by the nurse in the outpatient clinic is most likely to require teaching about ways to reduce risk for osteoarthritis (OA)?

a. A 38-year-old man who plays on a summer softball team
b. A 56-year-old man who is a member of a construction crew
c. A 56-year-old woman who works on an automotive assembly line
d. A 49-year-old woman who is newly diagnosed with diabetes mellitus

Question 2

A 46-year-old male patient with dermatomyositis is receiving long-term prednisone (Deltasone) therapy. Which assessment finding by the nurse is most important to report to the health care provider?

a. The blood glucose is 112 mg/dL.
b. The patient has painful hematuria.
c. Acne is noted on the patient's face.
d. The patient has an increased appetite.

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

Answer to Question 1

ANS: C
OA is more likely to occur in women as a result of estrogen reduction at menopause and in individuals whose work involves repetitive movements and lifting. Moderate exercise, such as softball, reduces risk for OA. Diabetes is not a risk factor for OA. Working on a construction crew would involve nonrepetitive work and thus would not be as risky.

Answer to Question 2

ANS: B
Corticosteroid use is associated with an increased risk for infection, so the nurse should report the urinary tract symptoms immediately to the health care provider. The increase in blood glucose, increased appetite, and acne are also adverse effects of corticosteroid use but do not need diagnosis and treatment as rapidly as the probable urinary tract infection.