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
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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Related Questions
Correct Answer is C
Explanation
A. Larger body size does not increase the risk for osteoporosis. In fact, individuals with a larger body may have more bone mass, offering some protection.
B. Although a history of fractures may indicate fragile bones, childhood fractures do not significantly contribute to the development of osteoporosis in adulthood.
C. Smoking is a well-established risk factor for osteoporosis. It reduces bone density and impairs bone regeneration, making smokers more prone to fractures and bone loss.
D. While excessive alcohol consumption can increase the risk of osteoporosis, consuming one alcoholic beverage per day is generally considered moderate and does not pose a high risk for osteoporosis by itself.
Correct Answer is A
Explanation
A. The frontal lobe is responsible for a variety of functions, including personality, behavior, judgment, and emotional regulation. It also plays a key role in problem-solving and decision-making. Changes in these areas, such as the emotional instability (crying and anger) described in the question, are often linked to frontal lobe dysfunction.
B. The occipital lobe is primarily responsible for visual processing. Damage or issues in the occipital lobe typically affect vision, such as causing blindness or visual disturbances, rather than emotional or behavioral changes like those described in the scenario.
C. The temporal lobe is involved in processing auditory information, memory, and language. While damage to the temporal lobe can affect memory or speech, it is not primarily responsible for the emotional and personality changes described in the scenario. Temporal lobe damage is more commonly associated with memory loss or issues with speech.
D. The parietal lobe is responsible for sensory information and spatial awareness. While damage here can lead to problems with spatial orientation or sensation, it is not directly responsible for emotional regulation or changes in personality and behavior like those described in the question.
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