Author Question: The nurse assesses a client and finds that a grating sound is present when a joint is bent and ... (Read 63 times)

dejastew · **on:** Jun 25, 2018

The nurse assesses a client and finds that a grating sound is present when a joint is bent and straightened. Which term will the nurse use when documenting this finding in the medical record?

1. Subluxation.
2. Grinding.
3. Crepitation.
4. Joint dislocation.

Question 2

The nurse is assessing a client whose chief complaint is an inability to move the fourth and fifth fingers. The nurse notes severe flexion in both of the affected fingers. Upon palpation, there are no complaints of pain from the client.

Based on this data, which diagnosis does the nurse suspect?
1. Dupuytren contracture.
2. Carpal tunnel syndrome.
3. Bursitis.
4. Osteoarthritis.

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

Answer to Question 1

Correct Answer: 3
Grinding sounds may be heard or felt with musculoskeletal disorders but it is not appropriate medical terminology. It is important to use proper terminology when reporting findings. Crepitation is the proper term when a grating sound is present in a joint. Crepitation results when the joint articulating surfaces have lost their cartilage. Subluxation refers to a partial joint dislocation. There is inadequate information to determine if the joint is dislocated.

Answer to Question 2

Correct Answer: 1
Dupuytren contracture involves inability to extend the fourth and fifth fingers, but is a painless, inherited disorder. Carpal tunnel is a condition caused by compression of the median nerve. In carpal tunnel syndrome the client feels numbness, tingling, and pain in the hands and wrists. Bursitis involves inflammation of the bursae. The condition is manifested by redness, warmth, swelling, and tenderness. Osteoarthritis is the degeneration of the joints. The condition typically causes pain and limitations in movement, but not numbness and tingling.