Which of the following manifestations would a nurse expect in a ...

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Which of the following manifestations would a nurse expect in a 70-year-old patient who has the diagnosis of osteoarthritis?
 
  a. Swan neck deformity of the hand
  b. Subluxation of the fingers
  c. Heberden's nodes on the distal phalanges
  d. Enlarged great toe

Question 2

A nurse plans for the discharge of a 75-year-old patient who has the diagnosis of osteoporosis. Which of these actions would the nurse consider first?
 
  a. Avoid stressful situations.
  b. Schedule an annual DXA/DEXA scan.
  c. Remove clutter from the floors of the home.
  d. Encourage consumption of a high-protein diet.

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Answer to Question 1

ANS: C
Herbeden's nodes are common in osteoarthritis. As the disease progresses, osteophytes develop in the joints of the fingers. Swan neck deformity and subluxation of the fingers are common in RA. An enlarged great toe is characteristic of gout.

Answer to Question 2

ANS: C
Individuals with osteoporosis are very high risk for falls. The most serious health complication of osteoporosis is the morbidity and mortality associated with a fall. There is no evidence that stress impacts osteoporosis. The recommendation for a DXA/DEXA scan is every 2 years. There is no evidence that a high-protein diet is important for an individual with osteoporosis.