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

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A rationale: African Americans generally have a lower risk of osteoporosis compared to Caucasians. They tend to have higher bone mineral density, which reduces their susceptibility to osteoporosis.

Choice B rationale: Asian men may have a lower risk of osteoporosis than postmenopausal Caucasian women. However, the risk factors for osteoporosis can vary among individuals, and it's essential to consider factors such as lifestyle, genetics, and overall health.

Choice C rationale: According to research, postmenopausal caucasian women have the highest risk of osteoporosis among all population groups. This is because they tend tohave lower bone mass, lower estrogen levels, and longer life expectancy than other groups.

Choice D rationale: While American Indians may have varying risks of osteoporosis, the general risk pattern indicates that postmenopausal Caucasian women are at a higher risk. The prevalence of osteoporosis is influenced by a combination of genetic, environmental, and lifestyle factors.

A. measure the circumference of the ankle. B. measure the calf at the widest point with a tape measure. C. check the dorsalis pedis pulse with the palm of the hand. D. compress the dorsalis pedis pulse, looking for blood return.

Correct Answer is B

Explanation

Choice A rationale: Measuring the circumference of the ankle is not a specific method for screening DVT.

Choice B rationale: To screen for deep vein thrombosis (DVT), measuring the calf at the widest point with a tape measure is appropriate. A significant increase in calf circumference may indicate swelling due to DVT.

Choice C rationale: Checking the dorsalis pedis pulse is not a direct method for screening DVT. Pulses are assessed for arterial circulation.

Choice D rationale: Compressing the dorsalis pedis pulse is not a standard method for screening DVT. DVT assessment involves evaluating for swelling, pain, and changes in skin temperature.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing health promotion teaching to a group of clients. The nurse should include in her teaching that which of the following population has a greater risk factor for osteoporosis?

Correct Answer is C

Explanation

The nurse is preparing to screen a client for deep vein thrombosis (DVT). Which of the following techniques should the nurse recognize as the appropriate technique to screen for DVT?

Correct Answer is B

Explanation

The nurse tests the function of Cranial Nerve XI while performing a physical examination on a client. Which statement best describes the response the nurse should expect if Cranial Nerve XI is intact?

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