The nurse should use which test to check for large amounts of ...

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The nurse should use which test to check for large amounts of fluid around the patella?
 
  a. Ballottement
  b. Tinel sign
  c. Phalen test
  d. McMurray test

Question 2

A 14-year-old boy who has been diagnosed with Osgood-Schlatter disease reports painful swelling just below the knee for the past 5 months.
 
  Which response by the nurse is appropriate?
  a.
  If these symptoms persist, you may need arthroscopic surgery.
  b.
  You are experiencing degeneration of your knee, which may not resolve.
  c.
  Your disease is due to repeated stress on the patellar tendon. It is usually self-limited, and your symptoms should resolve with rest.
  d.
  Increasing your activity and performing knee-strengthening exercises will help decrease the inflammation and maintain mobility in the knee.

[xiaomengxian]

Answer to Question 1

ANS: A
Ballottement of the patella is reliable when large amounts of fluid are present. The Tinel sign and the Phalen test are used to check for carpal tunnel syndrome. The McMurray test is used to test the knee for a torn meniscus.

Answer to Question 2

ANS: C
Osgood-Schlatter disease is a painful swelling of the tibial tubercle just below the knee and most likely due to repeated stress on the patellar tendon. It is usually self-limited, occurring during rapid growth and most often in boys. The symptoms resolve with rest. The other responses are not appropriate.