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. The basal ganglia play a crucial role in initiating and coordinating voluntary movements, and their dysfunction is associated with disorders such as Parkinson's disease.
B. The hypothalamus does regulate temperature and sleep, but it also regulates other critical functions like hunger, thirst, and hormone release, making this statement incomplete.
C. The parietal lobe primarily handles sensations and the occipital lobe is mainly involved in visual reception.
D. The cerebellum primarily manages coordination and balance. Speech and emotional regulation are functions of other parts of the brain, such as the frontal and temporal lobes.

A. Tear of rotator cuff. B. Adhesive capsulitis. C. Joint effusion. D. Dislocated shoulder

Correct Answer is D

Explanation

A. A tear in the rotator cuff usually results in pain and limited range of motion, but it doesn't typically cause a length discrepancy in the arms.
B. Also known as frozen shoulder, this condition is characterized by limited range of motion but would not cause a discrepancy in arm length.
C. While joint effusion involves fluid accumulation and can cause pain and swelling, it doesn't cause arm length discrepancy or the sudden inability to move the shoulder.
D. A dislocated shoulder often results in an obvious deformity, such as a length discrepancy between the arms, and could prevent movement due to pain.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

Correct Answer is D

Explanation

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