When assessing a client's range of motion, the nurse notes crepitation with movement of the left knee. Which information in the client's history is most likely related to this finding?

Choice A Reason:
An adult male presents with fears that he has "lung cancer." Is appropriate. This choice accurately captures the client's expressed fear of having lung cancer. However, it lacks specificity regarding the duration of symptoms (six weeks) and the nature of the symptom (dry cough). Therefore, while it acknowledges the client's concern, it does not provide comprehensive documentation of the client's reported symptoms.
Choice B Reason:
This option accurately captures the client's primary concern, which is the persistent dry cough lasting for six weeks. It avoids assuming a diagnosis (such as lung cancer) and instead focuses on the client's reported symptom. This type of documentation allows for an objective record of the client's statement while avoiding speculation about specific diagnoses. It also provides important information that can guide further assessment and diagnostic evaluation by healthcare providers.
Choice C Reason:
This option documents the client's expressed concern about having symptoms consistent with lung cancer for the past six weeks. While it accurately reflects the client's fear, it may lead to premature assumptions about the diagnosis before a thorough assessment and diagnostic workup are conducted. It's important for documentation to focus on the client's reported symptoms rather than presumptive diagnoses to maintain objectivity and guide appropriate evaluation and management..
Choice D Reason:
Presents with a hacking non-productive cough of 6 weeks duration. This choice accurately describes the client's reported symptom of a "hacking non-productive cough" and includes the duration of the symptom (six weeks). However, it does not explicitly mention the client's expressed fear of having lung cancer, which is an important aspect of the client's presentation that should be documented. Additionally, the term "hacking" may not fully capture the severity or character of the client's reported cough, as the client described it as "body-wracking." Therefore, while it provides some relevant information, it does not fully capture the client's concerns and presentation.

Choice A Reason:
Expected finding is incorrect. While some degree of dullness is expected during percussion of the heart borders due to the presence of solid cardiac tissue, the specific pattern described in the scenario, extending from the 5th left intercostal space to the 2nd left intercostal space at the sternal border, suggests an abnormality rather than an expected finding.
Choice B Reason:
Cardiac atrophy is incorrect. Cardiac atrophy refers to a decrease in the size or mass of the heart muscle, resulting in a smaller than normal heart. However, the described findings indicate dullness extending upward, suggesting an enlargement rather than atrophy of the heart.
Choice C Reason:
Benign variation is incorrect. Benign variations in cardiac percussion findings are less likely to produce a pattern of dullness extending from the 5th left intercostal space to the 2nd left intercostal space at the sternal border. This pattern is more indicative of cardiac enlargement or pathology rather than a benign variation.
Choice D Reason:
Cardiac enlargement is correct. During percussion of the heart borders, dullness indicates solid tissue, such as the heart. The area of dullness extending from the 5th left intercostal space to the 2nd left intercostal space at the sternal border suggests an enlargement of the cardiac silhouette. This enlargement could be due to various cardiac conditions, such as cardiomegaly (enlarged heart), left ventricular hypertrophy, or other structural abnormalities affecting the heart.