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 C
Explanation
Choice A rationale: Dull throbbing pain that increases with rest is less suggestive of a fracture.
Choice B rationale: A dull ache may be present with various conditions and is not specific to a fracture.
Choice C rationale: Sharp pain that increases with movement is indicative of a possible fracture, as movement can cause the fractured ends of the bone to rub against each other.
Choice D rationale: Deep pain in the wrist is nonspecific and may not be strongly indicative of a fracture.
Correct Answer is C
Explanation
Choice A rationale: Estimating the degree of flexion and extension in each joint is more related to joint range of motion, not muscle strength.
Choice B rationale: Measuring the degree of force that it takes to overcome joint flexion or extension is not a standard method for assessing muscle strength.
Choice C rationale: To assess muscle strength, the nurse should apply an opposing force when the individual puts a joint in flexion or extension. This helps evaluate the strength of the muscles and their ability to move the joint against resistance.
Choice D rationale: Observing muscles for the degree of contraction when lifting a heavy object may provide information on muscle function but is not a specific muscle strength assessment.
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