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. While physical activity is important, swimming is not a weight-bearing exercise and therefore does not provide the bone-strengthening benefits necessary to reduce osteoporosis risk. Activities such as walking, jogging, or resistance training are more effective.
B. Carbonated beverages, especially colas, are associated with decreased bone density because they may contain phosphoric acid and can displace calcium-rich beverages like milk in the diet. Limiting these drinks helps reduce osteoporosis risk.
C. Hormone replacement therapy (HRT) is not recommended as a preventive measure for young adults due to potential risks and side effects. It is generally considered only for postmenopausal women when indicated.
D. Dairy products are high in calcium and vitamin D, which are essential for bone health. Decreasing intake would increase the risk of osteoporosis rather than prevent it.

A. Eat several small meals a day rather than three larger meals. B. Attend screening clinics at least twice per year. C. Exercise for at least 30 minutes, three times a week D. Clients who smoke should attend smoking cessation classes E. Wash area with a pediculicide

Correct Answer is D

Explanation

A. Eating several small meals may help with certain gastrointestinal conditions (like GERD), but it is not directly linked to reducing the risk of peptic ulcer disease.
B. Routine screening clinics are not standard for peptic ulcer disease prevention; screening is generally focused on high-risk conditions such as cancers.
C. Regular exercise is beneficial for overall health but does not directly reduce the risk factors for peptic ulcer disease.
D. Smoking is a known risk factor for peptic ulcer disease because it increases gastric acid secretion, impairs mucosal defenses, and delays ulcer healing. Teaching clients who smoke to attend smoking cessation classes is the most appropriate prevention-focused intervention.

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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

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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Correct Answer is D

Explanation

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