A client states “I can hear a crunching or grating sound when I kneel and have difficulty getting out the bed in the morning because of pain and stiffness”. Which of the following should the nurse expect as an assessment finding?
Bone spur
Crepitation
Tendonitis
Fluid in the knee joint
The Correct Answer is B
Choice A rationale: While a bone spur could contribute to joint symptoms, the description provided by the client is more indicative of crepitation.
Choice B rationale: The client's complaint of a crunching or grating sound when kneeling and difficulty getting out of bed in the morning is indicative of crepitation, which is often associated with joint degeneration.
Choice C rationale: Tendonitis typically presents with inflammation and pain associated with specific tendons but may not produce a crunching sound.
Choice D rationale: Fluid in the knee joint (effusion) may cause swelling and limited range of motion but may not necessarily produce crepitation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale: The brainstem is involved in basic life functions such as breathing, heart rate, and consciousness.
Choice B rationale: The cerebellum is primarily responsible for coordination, balance, and muscle tone. Unsteadiness and difficulty maintaining balance often indicate issues with the cerebellum and warrant further assessment.
Choice C rationale: The extrapyramidal tract is associated with motor function and does not play a primary role in balance and coordination.
Choice D rationale: The thalamus is involved in relaying sensory information but is not the primary center for balance and coordination.
Correct Answer is A
Explanation
Choice A rationale: Osteoporosis is characterized by the loss of bone density, making bones fragile and more prone to fractures.
Choice B rationale: Osteoporosis does not involve new bone growth. Instead, it results from a decrease in bone density.
Choice C rationale: While calcium intake is important for bone health, osteoporosis is a complex condition influenced by various factors beyond just calcium intake.
Choice D rationale: Osteoporosis can affect both men and women, and hormone replacement therapy is just one factor that may influence bone health in postmenopausal women.
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