The industrial nurse examines an employee who complains of right elbow pain with movement. He points with one finger to the exact location of the pain and mentions that he won a racquetball tournament yesterday. The nurse suspects the employee is suffering from which problem?
Subluxation
Dislocation
Bursitis
Rotator cuff tear
The Correct Answer is C
A. Subluxation involves partial dislocation, usually with more diffuse pain and joint instability.
B. Dislocation typically causes severe pain, deformity, and limited movement, often after trauma.
C. Bursitis causes localized pain, often pinpointed to the bursa area, and is common after repetitive motion or sports activities like racquetball.
D. Rotator cuff tear causes shoulder pain and weakness, not typically localized elbow pain.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Circulatory congestion of the skin does not directly cause the intense, deep pain associated with osteomyelitis.
B. Osteomyelitis is an infection of the bone, often involving the bone marrow. The buildup of purulent material increases pressure within the rigid bone structure, causing severe pain.
C. While casts can cause discomfort if improperly applied, the primary source of pain in osteomyelitis is the infection itself.
D. Inelastic bone structure may contribute to pressure buildup, but this is secondary to the infection in the bone marrow, which is the direct cause of pain.
Correct Answer is D
Explanation
A. While frequent repositioning helps prevent pressure ulcers, ROM exercises specifically target joint mobility rather than skin integrity.
B. ROM exercises are not primarily aimed at reducing pain, though they may help indirectly. Pain management usually involves medications and other comfort measures.
C. ROM can aid circulation to some extent, but its main benefit is maintaining joint flexibility and muscle length.
D. Contractures—permanent tightening of muscles, tendons, or joints—can be prevented through regular ROM exercises and proper positioning, making this the most appropriate answer.
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