A patient states, "I can hear a crunching or grating sound when I kneel." She also states that "it is very difficult to get out of bed in the morning because of stiffness and pain in my joints." The nurse should assess for signs of what problem?

Bone spur

Crepitation

Loose tendon

Fluid in the knee joint

Answer and Explanation

The Correct Answer is B

A.   A bone spur typically does not cause crunching or grating sounds and is not usually associated with morning stiffness.
B.   Crepitation is the medical term for a grating or crunching sound often caused by joint issues, such as osteoarthritis, which could be the cause of the symptoms described.
C.   A loose tendon would not typically cause a crunching or grating sound.
D.   Fluid accumulation in the knee (effusion) would likely cause swelling and pain, but it would not typically produce a grating sound

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Correct Answer is A

Explanation

A. Closed-ended questions are useful for obtaining specific information, such as whether the client took their medication. Yes/no responses provide clarity and a quick assessment of adherence.
B. When determining if the client is eating a well-balanced diet. Open-ended questions would be more appropriate here to gather detailed information about the client’s dietary habits.
C. When asking the client about his receptiveness to the transfer. Open-ended questions would be better for understanding the client's feelings about the transfer, as they allow the client to express their thoughts fully.
D. When asking the client how he completes his ADLs. Open-ended questions allow clients to describe their ability to perform activities of daily living, which provides a more comprehensive view of their functional abilities.

A. Request a sign language interpreter before meeting the client B. Determine the communication method that he prefers C. Speak loudly and exaggerate facial movement when talking with him D. Avoid using facial and hand gestures because its degrading

Correct Answer is B

Explanation

A. While this is useful for clients who know sign language, it's important to first determine the communication method that the client prefers.
B. Each client may have different preferences or needs when it comes to communication, so it’s important to assess their preferred method before taking any further steps.
C. Speaking loudly is not effective and can distort words for those with hearing impairments. The focus should be on clear communication, such as lip-reading or using writing.
D. Facial and hand gestures can be helpful for communication, especially for individuals with hearing impairments. Avoiding them is unnecessary and could hinder understanding.

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A patient states, "I can hear a crunching or grating sound when I kneel." She also states that "it is very difficult to get out of bed in the morning because of stiffness and pain in my joints." The nurse should assess for signs of what problem?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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