NRNP 6540 WEEK 10 QUESTION AND ANSWER, A; WALDEN UNIVERSITY
NRNP 6540 Week 10 Knowledge Check
QUESTION 1
1. Describe the difference between bursitis and tendinitis.
Bursitis is the inflammation of a bursa, a sac lined with synovial membranes that
release synovial fluids. Tendinitis, on the other hand, is the inflammation of a tendon, which is
the noncontractile portion of a muscle.
QUESTION 2
1. Your 68-year-old male complains of a hot, swollen, reddened MTP joint of the great
toe. What is your primary diagnosis?
The patient with a hot, swollen, reddened metatarsophalangeal joint of the great toe
can have a primary diagnosis of gout. Those symptoms in the great toe, known
as podagra, are the classic presentation of an acute gout attack.
QUESTION 3
1. Restless legs syndrome (RLS) is a common neurological disorder characterized by an
intense urge to move the legs (or sometimes the arms). Describe at least three
symptoms or sensations of RLS.
Three symptoms or sensations of restless leg syndrome include the following:
1. Symptoms are reported as a need to move due to sensations variously described as
aching, burning, creeping, crawling, cramping, gnawing, pulling, painful, tense, throbbing,
tingling, restless, itchy, tense, tearing, and tugging.
2. Movement of affected limbs provides relief, but discomfort recurs unless the movement
continues.
3. Symptoms start or worsen during periods of inactivity like sitting or lying down.
QUESTION 4
1. Mary is a 79-year-old female who is post-menopausal and had refused to take
hormone replacement therapy. Her vital signs are normal with slightly elevated BP
today of 140/79, she states she is in pain 6/10. She is active around her home, and
comes to the clinic complaining of back and hip pain after hanging new curtains and
fell off her step ladder onto her kitchen floor. You suspect she has a fracture. What
are the OLDCARTs questions you want to explore with her? Describe at least four.
In assessing Mary, who is suspected to have a fracture, the following OLDCART
questions will be asked:
1. Onset - When did the injury occur?
2.Location - What part of the body is hurting? Besides the back and hip, any
other related injury?
3. Characteristics - Describe the pain in the injured sites?
4. Duration - Is the pain constant or intermittent?
5. Aggravating Factors - What activity worsens the pain?
6. Relieving Factors - What activity helps relieve the pain.
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, 7. Treatment -What did you do to alleviate the pain or discomfort related to the
fracture?
QUESTION 5
1. Peripheral neuropathy (PN) can be a sequalae of stroke or diabetes. List three of the
cardinal symptoms of PN.
Three cardinal symptoms of peripheral neuropathy are:
1.Paresthesia and dysesthesias like numbness, tingling, prickling, pins, and needles sensations, band-like
sensation on feeling and pressure.
2. Distal to proximal loss of various sensation, along with a predominant complaint of
pain and thermal sensation, suggesting a small fiber neuropathy.
3. Autonomic nerve damage, which includes inability to control bowel and bladder function (constipation,
diarrhea), orthostasis, arrhythmias, dry eyes, and dysphagia.
QUESTION 6
1. Mrs. G arrives for her annual exam, and you note that her height is 5 foot 6 inches,
down 1 inch from 2 years ago. Describe at least three of the changes in the muscular
system that are a part of the normal aging process.
In older adults, there are changes in the muscular system that are a part of the normal aging
process. Examples are as follows:
1. Loss of subcutaneous fat due to aging causes bony prominences to become more
noticeable.
2. Muscles stiffen and range of motion becomes impaired as people advance age.
3. Loss of muscle mass happens, some muscle diminishing, and others atrophying.
QUESTION 7
1. Edgar is a 72-year-old male and is in the clinic for his annual examination. His vital
signs are normal, and he is stable on his blood pressure medications and daily
Flonase for seasonal allergies. He has no other complaints. You want to assess his
gait as part of the Medicare Annual examination. List four (4) methods by which you
will evaluate Edgar’s gait.
To evaluate Edgar's gait as part of his Medicare Annual Examination, the following
methods will be done:
1. Examine the lower extremities to include podiatric issues. Note for any gait
abnormality or problems in maintaining balance.
2. Evaluate the patient's stance. Note for any limping or asymmetrical leg movement or deformities.
An antalgic gait may be a result of chronic hip pain and muscle atrophy.
This study source was downloaded by 100000832361371 from CourseHero.com on 04-25-2022 08:31:23 GMT -05:00
https://www.coursehero.com/file/76008124/NRNP-6540-Week-9-Knowledge-Checkdocx/
NRNP 6540 Week 10 Knowledge Check
QUESTION 1
1. Describe the difference between bursitis and tendinitis.
Bursitis is the inflammation of a bursa, a sac lined with synovial membranes that
release synovial fluids. Tendinitis, on the other hand, is the inflammation of a tendon, which is
the noncontractile portion of a muscle.
QUESTION 2
1. Your 68-year-old male complains of a hot, swollen, reddened MTP joint of the great
toe. What is your primary diagnosis?
The patient with a hot, swollen, reddened metatarsophalangeal joint of the great toe
can have a primary diagnosis of gout. Those symptoms in the great toe, known
as podagra, are the classic presentation of an acute gout attack.
QUESTION 3
1. Restless legs syndrome (RLS) is a common neurological disorder characterized by an
intense urge to move the legs (or sometimes the arms). Describe at least three
symptoms or sensations of RLS.
Three symptoms or sensations of restless leg syndrome include the following:
1. Symptoms are reported as a need to move due to sensations variously described as
aching, burning, creeping, crawling, cramping, gnawing, pulling, painful, tense, throbbing,
tingling, restless, itchy, tense, tearing, and tugging.
2. Movement of affected limbs provides relief, but discomfort recurs unless the movement
continues.
3. Symptoms start or worsen during periods of inactivity like sitting or lying down.
QUESTION 4
1. Mary is a 79-year-old female who is post-menopausal and had refused to take
hormone replacement therapy. Her vital signs are normal with slightly elevated BP
today of 140/79, she states she is in pain 6/10. She is active around her home, and
comes to the clinic complaining of back and hip pain after hanging new curtains and
fell off her step ladder onto her kitchen floor. You suspect she has a fracture. What
are the OLDCARTs questions you want to explore with her? Describe at least four.
In assessing Mary, who is suspected to have a fracture, the following OLDCART
questions will be asked:
1. Onset - When did the injury occur?
2.Location - What part of the body is hurting? Besides the back and hip, any
other related injury?
3. Characteristics - Describe the pain in the injured sites?
4. Duration - Is the pain constant or intermittent?
5. Aggravating Factors - What activity worsens the pain?
6. Relieving Factors - What activity helps relieve the pain.
This study source was downloaded by 100000832361371 from CourseHero.com on 04-25-2022 08:31:23 GMT -05:00
https://www.coursehero.com/file/76008124/NRNP-6540-Week-9-Knowledge-Checkdocx/
, 7. Treatment -What did you do to alleviate the pain or discomfort related to the
fracture?
QUESTION 5
1. Peripheral neuropathy (PN) can be a sequalae of stroke or diabetes. List three of the
cardinal symptoms of PN.
Three cardinal symptoms of peripheral neuropathy are:
1.Paresthesia and dysesthesias like numbness, tingling, prickling, pins, and needles sensations, band-like
sensation on feeling and pressure.
2. Distal to proximal loss of various sensation, along with a predominant complaint of
pain and thermal sensation, suggesting a small fiber neuropathy.
3. Autonomic nerve damage, which includes inability to control bowel and bladder function (constipation,
diarrhea), orthostasis, arrhythmias, dry eyes, and dysphagia.
QUESTION 6
1. Mrs. G arrives for her annual exam, and you note that her height is 5 foot 6 inches,
down 1 inch from 2 years ago. Describe at least three of the changes in the muscular
system that are a part of the normal aging process.
In older adults, there are changes in the muscular system that are a part of the normal aging
process. Examples are as follows:
1. Loss of subcutaneous fat due to aging causes bony prominences to become more
noticeable.
2. Muscles stiffen and range of motion becomes impaired as people advance age.
3. Loss of muscle mass happens, some muscle diminishing, and others atrophying.
QUESTION 7
1. Edgar is a 72-year-old male and is in the clinic for his annual examination. His vital
signs are normal, and he is stable on his blood pressure medications and daily
Flonase for seasonal allergies. He has no other complaints. You want to assess his
gait as part of the Medicare Annual examination. List four (4) methods by which you
will evaluate Edgar’s gait.
To evaluate Edgar's gait as part of his Medicare Annual Examination, the following
methods will be done:
1. Examine the lower extremities to include podiatric issues. Note for any gait
abnormality or problems in maintaining balance.
2. Evaluate the patient's stance. Note for any limping or asymmetrical leg movement or deformities.
An antalgic gait may be a result of chronic hip pain and muscle atrophy.
This study source was downloaded by 100000832361371 from CourseHero.com on 04-25-2022 08:31:23 GMT -05:00
https://www.coursehero.com/file/76008124/NRNP-6540-Week-9-Knowledge-Checkdocx/
