A client states “I can hear a crunching or grating sound when I kneel and have difficulty getting out the bed in the morning because of pain and stiffness”. Which of the following should the nurse expect as an assessment finding?
Bone spur
Crepitation
Tendonitis
Fluid in the knee joint
The Correct Answer is B
Choice A rationale: While a bone spur could contribute to joint symptoms, the description provided by the client is more indicative of crepitation.
Choice B rationale: The client's complaint of a crunching or grating sound when kneeling and difficulty getting out of bed in the morning is indicative of crepitation, which is often associated with joint degeneration.
Choice C rationale: Tendonitis typically presents with inflammation and pain associated with specific tendons but may not produce a crunching sound.
Choice D rationale: Fluid in the knee joint (effusion) may cause swelling and limited range of motion but may not necessarily produce crepitation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale: Dull throbbing pain that increases with rest is less suggestive of a fracture.
Choice B rationale: A dull ache may be present with various conditions and is not specific to a fracture.
Choice C rationale: Sharp pain that increases with movement is indicative of a possible fracture, as movement can cause the fractured ends of the bone to rub against each other.
Choice D rationale: Deep pain in the wrist is nonspecific and may not be strongly indicative of a fracture.
Correct Answer is D
Explanation
Choice A rationale: The vas deferens is a duct that carries sperm from the testes to the urethra but is not the site of sperm production.
Choice B rationale: The epididymis is a structure where sperm mature and are stored but is not the primary site of sperm production.
Choice C rationale: The prostate is a gland that contributes to seminal fluid but is not involved in the production of sperm.
Choice D rationale: Sperm is produced in the testes.
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