a nurse assesses an audible grating sound crepitus when a client with osteoarthritis moves his knees what is the cause of this sound

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. A nurse assesses an audible grating sound (Crepitus) when a client with osteoarthritis moves his knees. What is the cause of this sound?

A. A herniated disk in the diseased joint
B. Pieces of bone and cartilage floating
C. Popping bursae from standing
D. Years of an autoimmune process

Correct answer: A

Rationale:

2. What nursing intervention is best to improve communication with a hearing-impaired client?

A. Speak slowly and clearly while facing the client
B. Write down the message
C. Talk in a regular voice in the good ear
D. Shout in the impaired

Correct answer: A

Rationale: Speaking slowly and clearly while facing the client improves communication with hearing-impaired clients.

3. What does CREST stand for?

A. Calcinosis, Raynaud's, Esophageal dysmotility, Sclerodactyly and Telecines
B. Calcinosis, Reverse isolation, Esophageal dysmotility, Sclerodactyly and Telangiectasia
C. Calcinosis, Raynaud's, Everted colon, Sclerodactyly and Telangiectasia
D. Calcinosis, Raynaud's Esophageal dysmotility, Sclerodactyly and telangiectasia

Correct answer: D

Rationale:

4. Which assessment is NOT a nonverbal sing of pain?

A. Decreased attention span
B. Grimacing
C. Increase in heart rate
D. Reported pain of 5/10

Correct answer: D

Rationale:

5. What is the priority nursing diagnosis after surgery to repair a fracture?

A. Disturbed body image
B. Risk for infection
C. Risk for impaired skin integrity
D. Acute pain

Correct answer: B

Rationale: The correct answer is B: Risk for infection. After surgery to repair a fracture, the priority nursing diagnosis is to monitor for the risk of infection to promote proper healing. Infections can significantly delay the healing process and lead to further complications. Choices A, C, and D are not the priority immediately post-surgery. Disturbed body image, risk for impaired skin integrity, and acute pain may be concerns but are not the priority in the immediate post-operative period following fracture repair.