A patient states, "I can hear a crunching or grating sound when I kneel." She also states that "it is very difficult to get out of bed in the morning because of stiffness and pain in my joints." The nurse should assess for signs of what problem?

Bone spur

Crepitation

Loose tendon

Fluid in the knee joint

Answer and Explanation

The Correct Answer is B

A.   A bone spur typically does not cause crunching or grating sounds and is not usually associated with morning stiffness.
B.   Crepitation is the medical term for a grating or crunching sound often caused by joint issues, such as osteoarthritis, which could be the cause of the symptoms described.
C.   A loose tendon would not typically cause a crunching or grating sound.
D.   Fluid accumulation in the knee (effusion) would likely cause swelling and pain, but it would not typically produce a grating sound

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Correct Answer is B

Explanation

A. Muscle atrophy, which typically occurs in older adults, may actually reduce BMI, not increase it, because muscle mass decreases with age.
B. Height may decrease due to changes in bone density. As people age, bone density decreases, and the vertebrae can compress, leading to a loss in height. This is a common occurrence in older adults.
C. Increased skin elasticity will affect the waist-hip ratio. Skin elasticity does not directly affect the waistto-hip ratio. The waist-to-hip ratio is more related to fat distribution than to skin elasticity.
D. Increased muscle mass will affect the mid-arm circumference measurements. Older adults typically experience muscle loss, not an increase in muscle mass, so this statement would not be accurate for an elderly client.

A. Poor dentition B. Skin is pink, dry and warm C. Client states, "I can't seem to get warm lately" D. Weight gain of five pounds in two months E. Periorbital non-pitting edema

Correct Answer is ["A","C","E"]

Explanation

A. Poor dental health can be linked to hypothyroidism, as it may cause a decrease in oral health.
B. Skin should be dry and cool in hypothyroidism, making this finding abnormal.
C. Client states, "I can't seem to get warm lately." Cold intolerance is a hallmark symptom of hypothyroidism due to slowed metabolism.
D. Weight gain of five pounds in two months. Mild weight gain can occur in hypothyroidism but may not be significant enough to consider abnormal without other symptoms.
E. Periorbital non-pitting edema. This finding is common in hypothyroidism and indicates water retention around the eyes.

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A patient states, "I can hear a crunching or grating sound when I kneel." She also states that "it is very difficult to get out of bed in the morning because of stiffness and pain in my joints." The nurse should assess for signs of what problem?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse needs to obtain anthropometric measures of an 80-year-old client. Which of the following statements is true regarding this situation?

Correct Answer is B

Explanation

Which assessment finding(s) for a client with hypothyroidism should the nurse document as abnormal? Select all that apply.

Correct Answer is ["A","C","E"]

Explanation

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