A client states, "I can hear a crunching or grating sound when I kneel and have difficulty getting out of 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

A.   A bone spur is a bony projection often caused by joint damage, but it does not typically produce audible crunching or grating sounds.
B.   Crepitation refers to a crunching, grating, or popping sound or sensation that occurs with movement of a joint. It's often associated with conditions like osteoarthritis.
C.   Tendonitis involves inflammation of a tendon and may cause pain or tenderness, but it does not typically produce audible sounds like crepitation.
D.   Fluid in the knee joint might cause swelling and limited movement, but it does not usually produce audible crunching or grating sounds.

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Correct Answer is D

Explanation

A. Ability to swallow pureed foods suggests some functional capacity and is not an immediate concern requiring immediate reporting.
B. A mild headache reported by the client might not indicate a critical issue requiring immediate reporting.
C. Weakness can be a concerning symptom, but the severity or extent of weakness needs further clarification before urgent reporting.
D. A Glasgow Coma Scale (GCS) score of 5 is indicative of severe impairment of consciousness, requiring immediate attention and further evaluation by the healthcare provider.

A. Vertebral column B. Intervertebral disks C. Vertebral foramen D. Nucleus pulposus

Correct Answer is B

Explanation

A. The vertebral column refers to the series of vertebrae forming the backbone, not specifically the shock absorbers.
B. Intervertebral disks are the fibrocartilage pads between vertebrae that act as shock absorbers, allowing movement and cushioning the spine.
C. The vertebral foramen is the opening in the vertebrae through which the spinal cord passes.
D. The nucleus pulposus is the gel-like inner core of the intervertebral disk, contributing to its flexibility and shock-absorbing properties.

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A client states, "I can hear a crunching or grating sound when I kneel and have difficulty getting out of 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 completing a neurological assessment on a client who suffered from a motor vehicle accident (MVA). Which of the following findings should the nurse report to the practitioner immediately?

Correct Answer is D

Explanation

The nurse teaches a client that there are shock absorbers in the back to cushion the spine and to help it move. The client understands that which of the following is another name for shock absorbers:

Correct Answer is B

Explanation

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