The nurse notes swelling and tenderness of the olecranon process ...

[Jramos095]

The nurse notes swelling and tenderness of the olecranon process during palpation. The client's chief complaint is pain upon movement of the forearm and wrist. Based on this data, which condition does the nurse suspect?
 
  1. Arthritis.
  2. Bursitis.
  3. Epicondylitis.
  4. Crepitus.

Question 2

The nurse notes full range of motion against gravity with moderate resistance when assessing muscle strength of the upper extremities in a client. When documenting the client's muscle strength, which term is appropriate?
 
  1. Poor.
  2. Normal.
  3. Fair.
  4. Good.

[ryhom]

Answer to Question 1

Correct Answer: 3
Lateral epicondylitis, also called tennis elbow, results from constant, repetitive movements of the wrist and/or forearm. Pain occurs when the client attempts to extend the wrist against resistance. Medial epicondylitis, also called pitcher's or golfer's elbow, results from constant, repetitive flexion of wrist. Pain occurs when the client attempts to flex the wrist against resistance. Rheumatoid arthritis will typically produce nontender nodules along the extensor surface of the ulna. Bursitis is characterized by a painful area of inflammation. Crepitus is a grating sound caused by bone fragments in joints and is suggestive of degenerative disease, trauma, or inflammatory conditions.

Answer to Question 2

Correct Answer: 4
Full range of motion against gravity with full resistance is considered normal muscle strength, also rated a 5. A rating of good, or a 4, would be full range of motion against gravity with moderate resistance. A rating of fair, or a 3, would be full range of motion with gravity. A rating of poor, or a 2, would be full range of motion without gravity, or passive motion.