The nurse assesses a client whose chief complaint is tenderness ...

[mydiamond]

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.

Question 2

A young adult client is seen in the clinic complaining of a lump on the left wrist, but states it is not painful. The nurse notes a round mass on the back of the wrist. Based on this data, which condition does the nurse suspect?
 
  1. Rheumatoid arthritis.
  2. Osteoarthritis.
  3. Ganglion.
  4. Carpal tunnel syndrome.

[ankilker]

Answer to Question 1

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.

Answer to Question 2

Correct Answer: 3
The findings describe a ganglion, a painless, round, fluid-filled mass that arises from the tendon sheaths on the dorsum of the wrist and hand. Rheumatoid arthritis is an autoimmune disorder that presents with joint pain and tenderness. The joint regions may exhibit warmth and swelling. Osteoarthritis is a condition in which the joints degenerate. The condition manifests with joint pain and stiffness. Carpal tunnel syndrome results from compression of the median nerve. It manifests with discomfort in the wrist and potentially the reduction in the ability to grasp objects.

[mydiamond]

Excellent

[elyse44]

TYSM