When assessing a client's range of motion, the nurse notes crepitation with movement of the left knee. Which information in the client's history is most likely related to this finding?

History of a fractured patella.

Knee arthroplasty surgery.

Degenerative disease.

Needle aspiration of the synovial space.

Answer and Explanation

The Correct Answer is C

Choice A Reason:
History of a fractured patella is incorrect. While a history of a fractured patella may lead to some degree of crepitation in the knee joint, especially if there was damage to the articular surfaces during the injury, it is less likely to cause widespread crepitation with joint movement. Crepitation associated with a fractured patella would typically be localized to the site of injury rather than throughout the joint.
Choice B Reason:
Knee arthroplasty surgery is incorrect. Knee arthroplasty surgery involves the replacement of a damaged knee joint with an artificial prosthesis. While crepitation can occur in some cases following knee arthroplasty, it is less likely to be the cause of crepitation observed in this scenario, especially if the client's knee arthroplasty was successful and without complications.
Choice C Reason:
Degenerative disease is correct. Degenerative disease of the knee joint, such as osteoarthritis, is a common cause of crepitation during joint movement. Osteoarthritis is characterized by the breakdown of cartilage in the joints, leading to friction between bones and resulting in crepitus. This condition is often associated with aging, repetitive stress on the joints, or underlying joint abnormalities.

Choice D Reason:
Needle aspiration of the synovial space is incorrect. Needle aspiration of the synovial space is a procedure performed to remove excess fluid or to obtain a sample of synovial fluid for diagnostic purposes. While this procedure may be performed for various reasons, it is not directly associated with crepitation in the knee joint.

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Correct Answer is A

Explanation

Choice A Reason:
Requesting diagnostic laboratory testing for the client is appropriate action. Enlargement of the thyroid gland can be indicative of various thyroid disorders, including hyperthyroidism, hypothyroidism, or thyroid nodules. Diagnostic laboratory testing, such as thyroid function tests (TFTs), thyroid antibody testing, and possibly thyroid ultrasound, can help identify the underlying cause of the thyroid enlargement. These tests can include assessments of thyroid hormone levels (T3, T4, and TSH), antibodies, and imaging studies. Requesting diagnostic laboratory testing is essential to accurately diagnose the condition and guide appropriate management and treatment.
Choice B Reason:
Obtaining a dietary consultation for nutrition teaching is inappropriate action. While nutrition can play a role in overall thyroid health, obtaining a dietary consultation for nutrition teaching is not the most immediate action to take in response to finding an enlarged thyroid gland during palpation. Dietary consultation may be considered as part of comprehensive care for thyroid disorders, but it does not address the need for further evaluation and diagnosis of the thyroid enlargement.
Choice C Reason:
Instructing the client in the need to use iodized salt is inappropriate action. While iodine deficiency can contribute to thyroid disorders, instructing the client to use iodized salt is not the most immediate action to take in response to finding an enlarged thyroid gland during palpation. Using iodized salt may help prevent iodine deficiency, but it does not address the need for further evaluation and diagnosis of the thyroid enlargement.
Choice D Reason:
Scheduling a follow-up appointment in one month is inappropriate action. While scheduling a follow-up appointment may be necessary for ongoing monitoring and management of thyroid disorders, it is not the most immediate action to take in response to finding an enlarged thyroid gland during palpation. Further evaluation and diagnostic testing should be prioritized to determine the underlying cause of the thyroid enlargement and initiate appropriate treatment.

A. Observe chest and upper neck for a rash. B. Perform a hearing test. C. Evaluate for a loss of peripheral vision. D. Assess deep tendon reflexes.

Correct Answer is B

Explanation

Choice A Reason:
Observing chest and upper neck for a rash is correct. This assessment is unrelated to tinnitus. Observing the chest and upper neck for a rash may be relevant in the context of other conditions, such as skin disorders or infectious diseases, but it does not provide information about the effects of tinnitus.
Choice B Reason:
Performing a hearing test is correct. Tinnitus is the perception of noise or ringing in the ears when no external sound is present. It can affect a person's hearing and overall quality of life. Therefore, the most appropriate assessment to evaluate the effects of tinnitus is to perform a hearing test. This test can assess the client's auditory function, including their ability to hear different frequencies and intensities of sound. By conducting a hearing test, the nurse can gather objective data on the client's hearing abilities and determine the extent to which tinnitus may be impacting their hearing sensitivity and perception.
Choice C Reason:
Evaluating for a loss of peripheral vision is incorrect. Loss of peripheral vision is not a typical effect of tinnitus. While tinnitus can affect auditory perception, it does not directly impact visual function, particularly peripheral vision. Therefore, evaluating for loss of peripheral vision is not relevant to assessing the effects of tinnitus.
Choice D Reason:
Assessing deep tendon reflexes is incorrect. Assessing deep tendon reflexes is unrelated to evaluating the effects of tinnitus. Deep tendon reflexes are assessed to evaluate the integrity of the neurological system and are typically tested in the context of assessing motor function and nerve responses. This assessment does not provide information about the auditory effects of tinnitus.

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When assessing a client's range of motion, the nurse notes crepitation with movement of the left knee. Which information in the client's history is most likely related to this finding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When performing a physical assessment, palpation reveals to the clinic nurse that a client has an enlarged thyroid gland. What action should the nurse take in response to this finding?

Correct Answer is A

Explanation

In reading a client's record, the nurse notes that the client is experiencing tinnitus. Which assessment provides the nurse with the information needed to evaluate the effects of this condition?

Correct Answer is B

Explanation

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