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: The condyle of the mandible is the rounded process that fits into the TMJ.
Choice B rationale: The zygomatic arch is a bony structure formed by the zygomatic bone and the temporal bone.
Choice C rationale: The articulation of the mandible and the temporal bone is called the temporomandibular joint (TMJ).
Choice D rationale: The intervertebral foramen is an opening between vertebrae through which nerves exit the spinal cord.
Correct Answer is B
Explanation
Choice A rationale: The HPV vaccine is recommended for individuals before becoming sexually active but can still provide protection for those who have not yet been exposed to all vaccine-preventable HPV types.
Choice B rationale: The HPV vaccine is not a treatment for existing HPV infections. It is most effective when given before exposure to the virus.
Choice C rationale: While the HPV vaccine is generally recommended for individuals ages 9 to 26, it may still be appropriate for older individuals in certain cases.
Choice D rationale: Checking with the physician is a good approach, but the nurse can provide information on the limitations of the vaccine in treating existing HPV infections.
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