The nurse is caring for a client who states they have swelling in their knee, pain, and crepitus after running. What part of the client's health history will the nurse note as a possible cause of their symptoms?

The client drinks wine at night.

The client takes acetaminophen for pain.

The client has a body mass index (BMI) of 33.

The client is of childbearing age.

Answer and Explanation

The Correct Answer is C

A. Moderate wine consumption is not a contributing factor to knee pain, swelling, or crepitus.
B. Acetaminophen is commonly used for pain relief and does not cause joint damage or inflammation.
C. A BMI of 33 indicates obesity, which increases stress and mechanical load on weight-bearing joints such as the knees. This can lead to early onset of osteoarthritis, presenting with swelling, pain, and crepitus.
D. Being of childbearing age is not a risk factor for joint degeneration or knee crepitus

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Correct Answer is A

Explanation

A. Clients with cholecystitis should follow a low-fat diet and avoid fried, greasy, or high-fat foods to reduce gallbladder stimulation and prevent painful episodes.
B. A diet high in cholesterol and salt worsens gallbladder disease and is not recommended.
C. Eggs and cheese are high in fat and can trigger biliary colic.
D. A high-calorie, low-protein diet is not appropriate and may worsen maternal and fetal outcomes.

A. The client with Parkinson's Disease who needs to use the bathroom. B. The client with osteoporosis who refuses to take their bisphosphonate. C. The client with a hip fracture who is 3 days post-operative. D. The older adult client who was ambulating around the unit.

Correct Answer is A

Explanation

A. A client with Parkinson’s disease who urgently needs to use the bathroom is at high risk for falls due to rigidity, tremors, and shuffling gait. Needing to move quickly to the bathroom further increases the risk of injury, making this the priority for immediate assessment and assistance.
B. Refusing bisphosphonate therapy for osteoporosis is important to address but does not present an immediate safety risk requiring urgent assessment.
C. A client who is 3 days post–hip fracture surgery requires ongoing monitoring, but this is expected care and not an immediate fall or injury risk compared with the Parkinson’s client.
D. An older adult ambulating may need monitoring for safety, but unless new symptoms arise, this does not pose the same level of urgency as the Parkinson’s client who needs urgent toileting.

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The nurse is caring for a client who states they have swelling in their knee, pain, and crepitus after running. What part of the client's health history will the nurse note as a possible cause of their symptoms?

Nursing Test Bank

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