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Author Question: The nurse is performing a focused musculoskeletal system assessment with a client. How should the ... (Read 168 times)

TFauchery

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The nurse is performing a focused musculoskeletal system assessment with a client. How should the nurse assess for adduction of the hip?
 
  1. Having the client move her hip toward the center of the body
  2. Asking the client to straighten her leg
  3. Having the client move her hip away from midline
  4. Have the client bring her hip up toward the body

Question 2

The nurse is grading muscle strength during an assessment. The nurse should document strength of the arms as a 3 if:
 
  1. the client could perform full range of motion (ROM) against full resistance.
  2. the client could maintain ROM against gravity.
  3. the nurse could feel contraction when there was no movement.
  4. the client could perform full ROM against moderate resistance.



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mceravolo

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Answer to Question 1

Answer: 1

1. Adduction is moving the joint toward the midline of the body.
2. Straightening the leg is extension.
3. Moving the hip away from the body is abduction.
4. Brining the hip up towards the body is flexion.

Answer to Question 2

Answer: 2

1. A score of 5 is given for full ROM against full resistance.
2. A score of 3 is given if the client maintains ROM against gravity.
3. A score of 2 is given if the nurse feels muscle contraction but there is no movement.
4. A score of 4 is given for maintaining ROM against moderate resistance.





 

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