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Question 17Type: MCSAWhile assessing a patient's left knee for range of motion, the nurse hears clicking. The patient says that at times the knee "locks." The nurse would conduct additional assessment for which condition?1. Rheumatoid arthritis2. Fluid in the knee3. Dislocation4. Damage to the meniscusCorrect Answer: Rationale 1: Clicking sounds are not typically associated with rheumatoid arthritis.Rationale 2: Clicking sounds are not typically associated with fluid in the knee; however, the knee may “lock” due to pain.Rationale 3: If the patient’s knee were dislocated, the patient would experience pain, and deformity would likely be obvious.4Rationale 4: Clicking sounds with knee movement in addition to the patient’s description of “locking” may indicate damage to the meniscus.Global Rationale: Cognitive Level: Analyzing
Client Need: Health Promotion and MaintenanceClient Need Sub: Nursing/Integrated Concepts: Nursing Process: AssessmentLearning Outcome: 48-3Question 18Type: MCSAWhile assessing a patient's hands, the nurse notes that the patient is unable to fully extend the ring or fifth finger. The nurse would suspect which condition?1Global Rationale: Cognitive Level: AnalyzingClient Need: Health Promotion and MaintenanceClient Need Sub: Nursing/Integrated Concepts: Nursing Process: AssessmentLearning Outcome: 48-5Question 19Type: MCMAThe nurse is assessing an older adult’s musculoskeletal system. The nurse would evaluate that which findings represent normal age-related changes?Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.