The nurse is assessing a client who complains of low back pain ...

[Anajune7]

The nurse is assessing a client who complains of low back pain that is worse at night and is relieved by normal activity in the morning. The client tells the nurse that another doctor suspects ankylosing spondylitis.
 
  The nurse should assess the client for:
 
  1. uveitis and loss of the lumbar curvature.
  2. otitis and hair loss.
  3. diffuse tenderness and stiffness.
  4. inflammation and pain in the great toe.

Question 2

The nurse is assessing a client and notices that the client has a bunion on the left great toe. About what should the nurse question this client?
 
  1. Past calluses on the joint
  2. Whether the client stands to work
  3. Sleeping position
  4. Wearing of narrow-toed shoes

[FergA]

Answer to Question 1

Answer: 1

1. The nurse is aware of the progression of the disease and should assess for uveitis and loss of the lumbar curve, which signifies advancement of the disease.
2. Otitis is an ear infection and along with hair loss is not part of ankylosing spondylitis.
3. Diffuse tenderness and stiffness is characteristic of fibromyalgia.
4. Inflammation and pain in the great toe suggests gout.

Answer to Question 2

Answer: 4

1. Part of the bunion is a callus, and past callus formation on other parts of the foot will not affect the bunion.
2. Working in a standing position does not cause bunions, but it can aggravate them, once formed.
3. Sleeping position does not affect a bunion.
4. The client who wears pointed-toed shoes and/or high heels causes the great toe to bend away from midline, eventually causing the joint to enlarge.

[Anajune7]

Thank you

[FergA]

No problemo