Answer to Question 1
A
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A Correct. The joint of an older adult with OA is narrower than a normal joint, and as the disease advances, crepitus is palpable over the joint. The joint narrows as it degenerates, and crepitus occurs as the articulating surfaces of the bone move against each other abnormally.
B Incorrect. Disease in symmetrical joints is characteristic of rheumatoid arthritis (RA).
C Incorrect. Morning stiffness lasting for 1 hour or more is characteristic of poly-myalgia rheumatica.
D Incorrect. Swelling from excessive synovial fluid is characteristic of RA.
Answer to Question 2
C
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A Incorrect. The nurse can be assuming incorrectly that he practices and believes in the magicoreligious system. The nurse should assess his spiritual beliefs and determine how much they influence his attitudes toward Western health care.
B Incorrect. The magicoreligious system maintains social relationships in good condition to prevent illness; however, if he does not follow this cultural practice, this goal can be unsuitable.
C Correct. Because African Americans tend to be at risk for cardiovascular disease and hypertension, the nurse plans to maintain his blood pressure at or below the current recommendation by the American Heart Association.
D Incorrect. The older adult may not believe in this system, so the information can be irrelevant.
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