The nurse assesses a client whose chief complaint is tenderness and stiffness in the wrist and elbow. The client reports the discomfort is worsened with activity. Based on this data, which condition does the nurse suspect?
1. Carpal tunnel syndrome.
2. Osteoarthritis.
3. Crepitus of the wrists.
4. Dupuytren contracture.
Correct Answer: 2
Osteoarthritis is also known as degenerative joint disease. It is associated with pain and stiffness of the joints. Carpal tunnel syndrome is caused by compression of the median nerve. Crepitus is a grating sound caused by bone fragments in joints and is suggestive of degenerative joint disease, trauma, or inflammatory conditions. Dupuytren contracture involves inability to extend the fourth and fifth fingers, but is a painless, inherited disorder.
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