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. Which client is at highest risk of compromised immunity?

A. A client who just had surgery
B. A client who just delivered a baby
C. A client with extreme anxiety
D. A client who is awaiting surgery

Correct answer: A

Rationale:

3. What is not appropriate client education on the preventing the spread of methicillin- resistance Staphylococcus aureus (MRSA)?

A. Avoid contact sports until the infection has cleared
B. Use a bath sponge to cleanse the skin
C. Wash hands with soap and water before and after touching the infected area
D. Use an antibacterial soap when showering

Correct answer: B

Rationale:

4. Unlicensed assistive personnel (UAP) is assisting a client in traction. Which of these actions requires immediate intervention?

A. The unlicensed assistive personnel carefully lower the traction weights to hang freely
B. The unlicensed assistive personnel provides small pillows to cushion the unaffected extremities
C. The UAP carefully empties the indwelling catheter bag
D. The UAP shows the client how to use the call light

Correct answer: A

Rationale: The correct answer is A because traction weights should hang freely to maintain their effectiveness. Choice B is incorrect because providing pillows to cushion unaffected extremities is appropriate. Choice C is also incorrect as emptying the catheter bag is a routine nursing task. Choice D is incorrect as teaching the client to use the call light promotes client safety.