The orthopedic office nurse provides care to a patient who sustained an injury after a fall on an icy patch of sidewalk a year ago. The patient states. "I still cannot move my knee well because of the pain and swelling." Which diagnostic test should the nurse anticipate will be prescribed by the health care provider?
Ultrasound
Arthroscopy
Serum Alkaline Phosphatase Test
Bone Biopsy
The Correct Answer is B
A. Ultrasound: Ultrasound can be used to visualize soft tissue injuries and fluid accumulation but is not typically the first choice for long-term joint issues.
B. Arthroscopy: Arthroscopy is a minimally invasive procedure that allows direct visualization and treatment of joint problems. It is likely to be prescribed because it can help diagnose persistent pain and swelling in the knee.
C. Serum Alkaline Phosphatase Test: This blood test is used to evaluate bone growth and liver function. It is not specific for diagnosing joint pain or swelling.
D. Bone Biopsy: A bone biopsy is used to diagnose bone infections or cancer, which are not indicated in this scenario of persistent knee pain and swelling after an injury.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Diabetes: Diabetes increases the risk of osteomyelitis because high blood sugar levels can impair circulation, immune response, and wound healing, making infections more likely to develop and harder to treat.
B. Osteogenesis imperfecta: Osteogenesis imperfecta primarily affects bone fragility and does not directly increase the risk of osteomyelitis.
C. Cancer: Cancer can affect the bones and immune system, but it is not as directly linked to an increased risk of osteomyelitis as diabetes is.
D. Osteoporosis: Osteoporosis affects bone density and strength, making bones more prone to fractures, but it does not directly increase the risk of bone infection (osteomyelitis).
Correct Answer is D
Explanation
A. Pallor of the affected extremity: Pallor usually indicates vascular issues rather than a rotator cuff injury.
B. Alteration in the appearance of the shoulder joint: Visible deformity may suggest a dislocation or fracture, not specifically a rotator cuff injury.
C. Numbness of the thumb and index finger: Numbness of the thumb and index finger is more likely related to nerve compression, such as carpal tunnel syndrome.
D. Increased pain with lifting the arm: This is characteristic of a rotator cuff injury, which typically causes pain and weakness with shoulder movements, especially lifting the arm.
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