A client states, "I can hear a crunching or grating sound when I kneel and have difficulty getting out of 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
A. A bone spur is a bony projection often caused by joint damage, but it does not typically produce audible crunching or grating sounds.
B. Crepitation refers to a crunching, grating, or popping sound or sensation that occurs with movement of a joint. It's often associated with conditions like osteoarthritis.
C. Tendonitis involves inflammation of a tendon and may cause pain or tenderness, but it does not typically produce audible sounds like crepitation.
D. Fluid in the knee joint might cause swelling and limited movement, but it does not usually produce audible crunching or grating sounds.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Asymmetry of the scrotum is often normal; one side may hang lower than the other without indicating pathology.
B. Marked tenderness on palpation could suggest inflammation or infection but doesn’t necessarily indicate abnormality in all cases.
C. Easy sliding of scrotal contents is a normal finding; the testes should move easily within the scrotum.
D. The presence of small, firm, non-tender, yellowish nodules could indicate an abnormal finding such as sebaceous cysts or other nodules that may require further evaluation.
Correct Answer is C
Explanation
A. Loss of subcutaneous fat might contribute to changes in appearance but is not primarily responsible for the decrease in height with aging.
B. Reduced spinal flexibility may contribute to posture changes but doesn’t sufficiently explain the decrease in height.
C. With aging, the intervertebral discs and cartilage between spinal bones wear down, leading to a decrease in height due to changes in the spine's structure.
D. Thickening of intervertebral discs is not a typical occurrence with aging and does not explain the decrease in height.
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