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?

a. Crepitation
b. Bone spur
c. Loose tendon
d. Fluid in the knee joint


ANS: A
Crepitation is an audible and palpable crunching or grating that accompanies movement and occurs when articular surfaces in the joints are roughened, as with rheumatoid arthritis. The other options are not correct.

Nursing

You might also like to view...

Research that measures the Hospital Magnet Standards focuses on which of the following characteristics of an excellent work environment (select all that apply)?

a. Collaborative relationships between nurses and physicians b. Incident reporting c. Support for education d. Actual staffing ratios e. Patient-centered values

Nursing

Which statement best demonstrates an understanding of the difference between individual and organizational change?

A) Individual change focuses on changes of function not changes of behavior B) Individual change is more traumatic for the affected individual than for an affected group. C) Organizational change focuses more on the change of group behavior than that of group function D) Organizational change should be viewed from the degree of impact it will have on both the institution and the individual.

Nursing

The nurse determines that instruction of a client taking ganciclovir (Cytovene) is effective when the client states:

1. "I can take this medication on an empty stomach." 2. "This medication is OK to take during pregnancy." 3. "I should avoid becoming pregnant while on this medication." 4. "I can stop taking the medication when my symptoms are gone."

Nursing

A patient's genetic testing reveals a change in CYP2A6. The nurse would plan which interventions based on this discovery? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply

1. Teaching the patient to avoid caffeine-containing drugs. 2. Planning additional time and interventions to help the patient stop smoking. 3. Use of an alternative to the drug warfarin. 4. Increased surveillance for the development of lung cancer. 5. Frequent monitoring of blood pressure.

Nursing