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?

Needle aspiration of the synovial space.

Knee arthroplasty surgery.

History of a fractured patella.

Degenerative disease.

Answer and Explanation

The Correct Answer is D

A. Needle aspiration of the synovial space: Needle aspiration of the synovial space is a diagnostic procedure used to collect synovial fluid for analysis. It is not directly related to crepitation.

B. Knee arthroplasty surgery: Knee arthroplasty (joint replacement surgery) involves replacing damaged knee joint components with artificial ones. While it can improve joint function, it is not directly related to crepitation.

C. History of a fractured patella: A fractured patella (kneecap) can lead to altered joint mechanics and abnormal wear. This might lead to long-term issues but isn't directly associated with crepitation unless it caused secondary degenerative changes in the knee joint.

D. Degenerative disease: Degenerative joint diseases like osteoarthritis often involve changes in the cartilage, leading to rough surfaces within the joint. When these rough surfaces rub against each other during movement, crepitation can occur.

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Correct Answer is C

Explanation

A. Teach the client to rotate the meal plate to visualize all the food on the plate: While this intervention may be helpful for other reasons, it does not directly address the client’s difficulty walking in a straight line.

B. Instruct the client to lift the left extremities with the right hand when transferring: This intervention helps with weight-bearing and balance during transfers. It compensates for the left hemiplegia and promotes stability.

C. Implement precautions when the client is judging distances during transfers: This is crucial. Clients with hemiplegia may have impaired spatial awareness and difficulty judging distances. Strategies like using a gait belt, providing cues, or ensuring a clear path can help prevent falls. Implementing precautions during transfers helps prevent falls.

D. Encourage the client to touch, wash, look at, and dress the affected side first: While this approach promotes independence, it does not directly address the client’s gait instability.

A. Ask the client to describe the pain. B. Observe body language and movement. C. Identify effective pain relief measures. D. Provide a numeric pain scale.

Correct Answer is A

Explanation

A. Ask the client to describe the pain: This is the most crucial step. A good pain description can reveal characteristics like intensity, location, duration, and aggravating/relieving factors, all aiding in diagnosis.

B. Observe body language and movement: Nonverbal cues like grimacing, guarding (tensing muscles), or restlessness can indicate pain severity or location.

C. Identify effective pain relief measures: While this might be helpful later, it's not the primary way to assess pain quality initially.

D. Provide a numeric pain scale: Pain scales can be helpful for quantifying pain intensity, but a full description provides richer details.

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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?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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