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When assessing a finger with limited joint motion, if passive range of motion (PROM) is equal to active range of motion (AROM)  which of the following is most likely?  

Mr. W. is a 50-year-old client with a history of congestive heart failure who is being seen in the clinic today due to a weight gain of 4 lbs over the last 24 hours.  Upon assessment, 2+ pitting edema is noted in both ankles.  His blood pressure is currently 158/90. What is the underlying pathophysiology for decreased urine specific gravity in clients with fluid volume excess?

The assistive personnel (AP) reports to the nurse that a client’s urine output for the past 24 hours has been only 360 mL.  What is the nurse’s priority action at this time?

The nurse is caring for a client with a primary medical diagnosis of acute renal failure secondary to treatment of a urinary tract infection with a nephrotoxic antibiotic.  The client’s morning basic metabolic panel (BMP) reveals the following abnormal data: Na+ 135 mEq/L K+ 6.5 mEq/L Ca+ 7.1 mg/dL Phos+ 5.3 mmol/L Which additional assessment data does the nurse anticipate in clients with hyperkalemia?

Mr. W. is a 50-year-old client with a history of congestive heart failure who is being seen in the clinic today due to a weight gain of 4 lbs over the last 24 hours.  Upon assessment, 2+ pitting edema is noted in both ankles.  His blood pressure is currently 158/90. What does the nurse suspect as the underlying cause for the client’s abnormal assessment data including the edema, weight gain, and increased blood pressure?

Ms. J. is an 80-year-old client admitted to the emergency department with reports of dizziness and episodes of lightheadedness when she stands up “too quickly”.  She reports “flu-like symptoms (manifestations)” with vomiting and diarrhea for the past 3 days. Upon assessment: Blood pressure is currently 82/48 Heart rate is 110 bpm What is the underlying pathophysiology for increased Hematocrit (HcT) in clients with fluid volume deficit?

 A child has a diagnosis of myelomeningocele. The COTA should train the parents in

Which is a sign of distress in a baby in the NICU?

A 9 year old child has a diagnosis of Duchenne’s muscular dystrophy.  His parents want to buy a home which is accessible to him for the remainder of his life.  What is most important when selecting the home?

A child has cerebral palsy.  He is a client of the OC Regional Center and also receives services through the Anaheim Unified School District/ the LEA (local educational agency), and his private OT clinic paid cash by parent.  Which agency should provide (order, pay, train, and manage) his hand splints and AFOs (ankle foot orthotics)?