A client has been experiencing an unexplained decline in knee function and has consequently been scheduled for arthrography.
The nurse should teach the client about what process?

Aspiration of synovial fluid for serologic testing.

Injection of corticosteroids into the client's knee joint to facilitate ROM.

Injection of a contrast agent into the knee joint prior to ROM exercises.

Replacement of the client's synovial fluid with a synthetic substitute.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Aspiration of synovial fluid for serologic testing is a procedure known as arthrocentesis, which involves extracting joint fluid for analysis. While useful for diagnosing conditions like infections or arthritis, it is not the same as arthrography, which involves imaging.

Choice B rationale

Injection of corticosteroids into the client's knee joint to facilitate ROM is a therapeutic procedure to reduce inflammation and improve movement in conditions like arthritis, but it is not part of an arthrography procedure.

Choice C rationale

Injection of a contrast agent into the knee joint prior to ROM exercises is a key part of arthrography. The contrast agent helps to enhance the imaging of the joint structures during movement, allowing for a detailed assessment of the joint.

Choice D rationale

Replacement of the client's synovial fluid with a synthetic substitute is not related to arthrography. This description aligns more with viscosupplementation, a treatment for osteoarthritis.

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Correct Answer is D

Explanation

Choice A rationale

Stupor refers to a state of near-unconsciousness or insensibility, where the patient can be briefly aroused by vigorous or repeated stimuli.

Choice B rationale

Somnolence refers to a state of strong desire for sleep or sleeping for unusually long periods (drowsiness), but it is not as severe as stupor or coma.

Choice C rationale

Normal consciousness means the patient is awake, alert, and responsive to their environment with no neurological deficits.

Choice D rationale

A score of 6 on the Glasgow Coma Scale indicates deep coma, where the patient has minimal to no response to stimuli, indicating severe brain injury.

A. The client is exhibiting signs of medication overdose. B. Medication needs to be adjusted to higher doses. C. The client is having an exacerbation. D. The disease has entered the late stages.

Correct Answer is D

Explanation

Choice A rationale

Signs of medication overdose in Parkinson's disease typically include hallucinations, confusion, and dyskinesia (involuntary movements), rather than slurred speech and drooling. These symptoms are more associated with disease progression.

Choice B rationale

Increasing the medication dose might help in early or middle stages, but slurred speech and drooling indicate more advanced disease stages. Adjusting the dose might not address these specific symptoms effectively.

Choice C rationale

An exacerbation in Parkinson's disease would typically involve a worsening of existing symptoms like tremors, rigidity, and bradykinesia (slowness of movement). Slurred speech and drooling suggest a more chronic progression rather than an acute exacerbation.

Choice D rationale

In the late stages of Parkinson's disease, symptoms can include significant motor dysfunction, slurred speech, and excessive drooling due to impaired swallowing and muscle control. These are signs of advanced disease progression.

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A client has been experiencing an unexplained decline in knee function and has consequently been scheduled for arthrography. The nurse should teach the client about what process?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The critical care nurse is giving end-of-shift report on a client. The nurse uses the Glasgow Coma Scale (GCS) to assess the level of consciousness (LOC) of a female client and reports to the oncoming nurse that the client has an LOC of 6. What does an LOC score of 6 in a client indicate?

Correct Answer is D

Explanation

A client diagnosed with Parkinson's disease has developed slurred speech and drooling. The nurse knows that these symptoms indicate which of the following?

Correct Answer is D

Explanation

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A client has been experiencing an unexplained decline in knee function and has consequently been scheduled for arthrography.
The nurse should teach the client about what process?