The nurse is preparing to assess the posterior spine of a client. ...

[bobthebuilder]

The nurse is preparing to assess the posterior spine of a client. Which is the landmark the nurse will use to determine symmetry?
 
  1. A.
  2. B.
  3. C.
  4. D.

Question 2

The nurse is assessing the client's lateral flexion. Which commands by the nurse to the client will assess lateral flexion during the physical assessment? Select all that apply.
 
  1. Tilt your head back and look at the ceiling.
  2. Lean your head to the side and attempt to touch your ear to your shoulder.
  3. Bend sideways to the right and to the left while I stabilize your pelvis.
  4. Attempt to raise your shoulders up toward your ears.
  5. Attempt to rotate your head in a circular manner.

[leahm14]

Answer to Question 1

Correct Answer: 3
The iliac crests are used as landmarks on the posterior spine. They are used to assess for symmetry.

Answer to Question 2

Correct Answer: 2, 3
Lateral flexion of the head is attempted by touching each shoulder of the ear on the same side. It is also assessed by sitting or standing behind the client and asking the client to bend sideways to the right and the left while stabilizing the pelvis. Tilting the head back to look at the ceiling would be an example of hyperflexion. Raising the shoulders toward the ears and rotating the head are methods to assess mobility and flexibility of the client but do not demonstrate lateral flexion.

[bobthebuilder]

Thank you

[leahm14]

Happy to help you