Author Question: Lab results are back on a client who has limiting joint pain. Synovial fluid analysis shows no uric ... (Read 45 times)

Garrulous · **on:** Jun 25, 2018

Lab results are back on a client who has limiting joint pain. Synovial fluid analysis shows no uric acid crystals, bacteria, or blood. The client asks what conditions are possible cause(s) of this pain. What is the nurse's response?

Select all that apply.
A) Osteoarthritis
B) Rheumatoid arthritis
C) Septic arthritis
D) Gout
E) Trauma

Question 2

The nurse suspects that a client is experiencing hypothyroidism. Which question should the nurse ask during the health history?

A) Is your skin often clammy?
B) Do you have brown, shiny patches on your legs?
C) Is your skin smooth?
D) Is your skin rough and dry?

Kjones0604 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: A, B

There are no specific joint fluid tests for osteoarthritis, making this a possible diagnosis. There is no report of any tests for rheumatoid arthritis, making this a possible diagnosis. Gout is caused by the collection of uric acid crystals in the joint. The absence of uric acid crystals in the synovial fluid (joint fluid) makes gout unlikely. Septic arthritis is caused by infection. The absence of bacteria makes sepsis unlikely. The absence of blood makes trauma unlikely.

Answer to Question 2

Answer: D

The client experiencing hypothyroidism has rough, dry skin. Smooth skin is associated with hyperthyroidism. Cool, clammy skin is found in clients with low blood sugar. Brown, shiny patches on the lower extremities are associated with poor circulation.