The nurse has completed the musculoskeletal examination of a patient's knee and has found a positive bulge sign. The nurse interprets this finding to indicate:
a. Irregular bony margins.
b. Soft-tissue swelling in the joint.
c. Swelling from fluid in the epicondyle.
d. Swelling from fluid in the suprapatellar pouch.
ANS: D
A positive bulge sign confirms the presence of swelling caused by fluid in the suprapatellar pouch. The other options are not correct.
You might also like to view...
The client lives with her roommate in a condominium. She tells the nurse that her roommate has
urged her to seek a therapist's advice about episodes of strange behavior observed by the roommate but that the client cannot remember. The roommate has observed her leaving the condo wearing seductive clothing, quite different from her usual wardrobe, and returning 12 to 24 hours later, after which she sleeps for 8 to 12 hours. Episodes have also occurred in which the client and her roommate have argued about household matters and the client has gone to sit on the floor in the corner of the kitchen. While seated there she has spoken like a young child. The client's problem can be assessed as being consistent with DSM-IV-TR criteria for a. antisocial personality. b. borderline personality. c. dissociative identity disorder. d. body dysmorphic disorder.
In which of these situations is a forceps-assisted birth indicated?
a. for a fetal vertex presentation b. when cephalopelvic disproportion is present c. for a mother with a history of heart disease d. for a fetal prolapsed umbilical cord
During a neurologic examination of an older client, the nurse should expect to see which age-related findings?
1. Disorientation to person and place 2. A decreased sense of touch and temperature 3. An increase in deep tendon reflexes 4. A depressed mood
A 6-year-old child has acute diarrhea from taking an antibiotic for a respiratory infection. Which of the following foods would the nurse teach the mother is appropriate to prevent diarrhea and dehydration?
A) Yogurt B) Canned soda C) Undiluted grape juice D) Jell-O