A 75-year-old male patient who recently started playing Tennis at the local adult care center is complaining of elbow pain associated with extension and flexion range of movement. The nurse knows the likely cause of this patient discomfort is due to:
Lateral epicondylitis
Rheumatoid Arthritis
Gout
Medial epicondylitis
The Correct Answer is A
A. Lateral epicondylitis, commonly known as "tennis elbow," is an overuse injury characterized by pain and tenderness on the outer part of the elbow (lateral epicondyle). It results from repeated stress and
strain on the forearm muscles and tendons, often due to activities involving repetitive arm motions such as tennis. The pain typically worsens with activities involving gripping, extending, or lifting.
B. Rheumatoid arthritis (RA) is a chronic inflammatory disease that typically affects joints symmetrically, causing pain, swelling, and stiffness. It usually involves joints like the hands, wrists, and knees rather than the elbows alone. RA symptoms are generally more diffuse and persistent, rather than specifically linked to recent physical activity and localized pain associated with movement.
C. Gout is a form of arthritis caused by the accumulation of uric acid crystals in the joints. It often presents with sudden, severe pain, redness, and swelling, typically affecting the big toe but can also affect other joints. Gout attacks usually occur at night and are often very acute and localized. It is less likely to be associated with the type of pain described (pain during extension and flexion) and recent physical activity.
D. Medial epicondylitis, also known as "golfer’s elbow," is similar to lateral epicondylitis but affects the inner part of the elbow (medial epicondyle). It is more commonly associated with activities that involve gripping and wrist flexion rather than the generalized extension and flexion pain described.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Extinction refers to the phenomenon where a person fails to recognize a stimulus on one side of the body when another stimulus is presented simultaneously on the opposite side. This is often tested in cases of neurological impairment, particularly in the context of sensory neglect or loss
B. Stereognosis is the ability to identify an object by touch and proprioception without visual input. It involves recognizing the shape, size, and texture of an object solely through tactile information. Placing a coin in the patient’s hand and asking them to identify it with their eyes closed tests their ability to use tactile information to recognize objects, making stereognosis the correct term for this assessment.
C. Proprioception is the sense of the position and movement of the body and its parts. It involves awareness of body position in space, which is crucial for coordination and balance. While important, proprioception does not specifically involve identifying objects by touch alone; it is more about the awareness of body position.
D. Two-point discrimination is the ability to distinguish between two closely spaced points of contact on the skin. It tests the sensitivity of the skin to touch and is often used to assess sensory nerve function. It does not involve identifying objects by touch but rather measuring how well one can discern between two separate points of contact.
Correct Answer is ["C","D","E","F"]
Explanation
A. Subcutaneous nodules are lumps or masses that can occur beneath the skin, sometimes seen in conditions like rheumatoid arthritis.
B. Crepitus refers to a crackling or popping sound heard or felt during joint movement. It is often associated with osteoarthritis or other joint conditions.
C. Warmth or increased temperature over the joint area is a common sign of inflammation. It occurs because inflammation increases blood flow to the affected area.
D. Swelling, or edema, is the accumulation of fluid in the joint space or surrounding tissues. It is a clear sign of inflammation and can be due to increased fluid production or leakage from blood vessels.
E. Redness, or erythema, around the joint is a result of increased blood flow to the area due to inflammation. It is often accompanied by warmth.
F. Tenderness refers to pain or discomfort in the joint area when touched or palpated. It indicates an inflammatory process in the joint.
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