NR 511 Final Exam.

NR 511 Final Exam.A factory line worker has Osteoarthritis (OA) of the right hand. According to the American College of Rheumatology (ACR), the guidelines for pharmacologic treatment include:  Topical capsaicin, topical nonsteroidal anti-inflammatory drugs (NSAIDs), and oral NSAIDs. For an adult patient with a knee injury, the nurse practitioner orders for a nonsteroidal antiinflammatory drug (NSAID) to be taken on a routine basis for the next two weeks. Patient teaching should include which of the following?  If you have additional pain, an occasional acetaminophen (Tylenol) is permitted in between the usual doses of NSAID. A 13 year old obese (body mass index BMI above the 95th percentile) boy reports low-grade left knee pain for the past two months. He denies antecedent trauma but admits to frequent ‘horseplay’ with his friends. The pain has progressively worsened, and he is now unable to bear weight on his left leg. His current complaints include left groin, thigh and medial knee pain and tenderness. His examination demonstrates negative drawer, Lachman and McMurray tests, left hip with decreased internal rotation and abduction, and external hip rotation with knee flexion. Based on the above scenario, the nurse practitioner should suspect:  A slipped capital femoral epiphysis (SCFE) During assessment of a client’s foot, the nurse practitioner notes that the foot is in alignment with the long axis of the lower leg and that weight bearing falls on the middle of the foot from the heel, along the midfoot, to between the second and the third toes. These findings best describe:  A normal foot