A. Assess each muscle group for range of motion
Each muscle group should be examined first by flexing and then opposing the force given.
B. Assess muscle strength and compare to opposite side
Muscle strength comparing to the opposite side,( not only when an abnormality is found), is an important assessment to detect strength and size.
C. Assess each muscle group for strength and equality
It is done with the help of Range of Motion movements.
The presence and location of crepitation is done in patient with arthritis or other abnormalities and normal findings are documented as Grade 5.
49. Wbete assessing the Muscle Strength of a patient, the nurse should: Select all that apply...
nurse the nurse is assessing a patient muscle strength and notes that when asked the client cannot maintain his or her arms and a service-connected position in the arms extended and eyes closed how would the nurse correctly document the finding on a medical record
when assessing muscle strength, the nurse observes that a patient has slight muscle contraction. what grade of muscle strength should the nurse record? A. 0/5 B. 1/5 c. 3/5 . A client’s body appears to have his arms and legs straight, toes pointed downward , and the head and neck are arched backward what type of posture is this A. Decorticate B. Deranged C. Dysconjugate D. decerebrate . On performing a spinal assessment on your client, it is noted but...
can someone please answer the questions now 44. During an assessment of the neurological system. a nurse places a key in the hand of a client and he identifies it as a key. The nurse would describe this finding as A. stereognosis. B. graphesthesia. C. extinction. D. tactile discrimination. 45. While assessing the Range of Motion of a patient, the nurse should: Select all that apply. A. Force the joint beyond its normal range B. Stop passive motion if the...
injury. Which of the following should be included in the teaching? (Select all that apply) a. Place the patient on seizure precautions b. Position the patient in the supine position c. Monitor the patient for nausea and/or vomiting d. Monitor the patient for bradycardia e. Monitor the patient for heart failure TTA 42. A nurse is teaching a group of new graduate nurses about the care of a patient with a head 43. The nurse notes that a patient with...
A patient with a severe muscle cramp tells the nurse, "The pain is a little better when I massage the muscle or apply a cold pack." Which criterion of the PQRST method of pain assessment is addressed in the patient’s statement? 1Severity Scale 2 Quality/Quantity 3 Region/Radiation 4 Provocation/Palliation Which phase of nociceptive pain signifies the conscious awareness of a painful sensation? 1 Perception 2 Modulation 3 Transduction Which is the purpose of functional magnetic resonance imaging (fMRI)? 1 To...
6. Priority Nursing action for the patient undergoing a paracentesis include? Select all that apply a. obtain informed concent b. Have the patient bathe c. Assess vital signs and weight d. Instruct the patient to lay in a supine position. e. Have the patient void 7. Upon completion of the procedure, the priority nursing action is to? Select all that apply. a. Note the amount of fluid and discard all fluid obtained. b. put an abnormal binder on the patient....
exposed Acties should O : 48 The nurse is caring for a patient who has retumed to the unit following a bronchoscopy. The should which orarion will determine when the p how the patient to drink enis asing for something to ads va Presence of a cough and agree Question : 40 The medical nurse who works on a pulmonology unit is aware that several repertory prwtory conditions would lead to an increase in o complace. The presence of what...
46. Which of the following observations would indicate that the nurse should withhold a tube feeding? SELECT ALL THAT APPLY a. PH greater than 4 b. Absonce of bowel sounds c. Presence of more than 100 ml of residual feeding d. Absence of residual feeding when the gastrostomy tube is suctioned 47. A patient is scheduled for abdominal surgery. The nurse is planning the patient's care and is aware that the reason for an NPO order before an operation is...
4. Before administering a tube feeding, what action should be completed? Select all that apply. a. Check residual b. Flush with feeding solution c. Place in Fowlers position d. Document in chart e. Check tube placement 5. A student nurse is observing a CNA take care of a patient with abnormal body temperature at the hospital. When does the student nurse intervene when the CNA does which of the following activities? a. Monitors the patient's temperature at least every four...
S.P. is a 3-year-old female toddler who presents to the pediatrician’s office for a yearly well visit. The child complains that her leg hurts. SUBJECTIVE DATA PMH of otitis media Immunizations: Up to date No medications No allergies Pain: 3/5 on pain scale Attends preschool Unable to recall injuring leg OBJECTIVE DATA Vital signs: T 37 P 92 R 18 BP 100/70 Lungs: clear in all fields Heart rate and...