Read This Patient's Physical Exam: Physical Exam

question 85

Multiple Choice

Read this patient's physical exam: Physical Exam:
RR: 16; HR: 70; Temp: 98.6; BP: 110/60
Gen: Alert, oriented.
CV: RRR, no murmurs.
Resp: CTA.
Musculoskeletal: Crepitation in right knee, decreased ROM. Mild effusion. Mild muscular atrophy of right quadriceps muscle compared to left.
Labs: ESR normal, joint aspiration normal.
X-ray: Subchondral cysts, subchondral sclerosis, joint space narrowing.
According to the physical exam, this patient is NOT experiencing:

• A) crackling sound in the right knee.
• B) decreased range of motion.
• C) hardening of the joints.
• D) mild decrease or loss of muscle tissue in the right quadriceps.
• E) mild fluid build-up.

---

Definitions:

Nursing Process

A systematic approach in nursing that involves assessment, diagnosis, planning, implementation, and evaluation to provide patient care.

Skin Breakdown

The deterioration or damage of skin integrity, often resulting from prolonged pressure or friction and leading to conditions like ulcers or bedsores.

Coccyx Area

The region in the lower back where the coccyx (tailbone) is located, which can be a source of pain due to injury or strain.

Nursing Process

A systematic approach used by nurses to plan and provide patient care, including assessment, diagnosis, planning, implementation, and evaluation.