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Author Question: The nurse completes a physical assessment on a patient recovering from a stroke. The patient has no ... (Read 60 times)

TFauchery

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The nurse completes a physical assessment on a patient recovering from a stroke. The patient has no muscle function of the left leg and passive range of motion of the left arm. The right leg and arm have full range of motion against full resistance.
 
  How should the nurse document the muscle grading of these assessment findings?
  Select all that apply.
 
  1. 0 left leg
  2. 2 left arm
  3. 3 left arm
  4. 5 right leg
  5. 5 right arm

Question 2

The nurse notes that a patient is prescribed to have a human leukocyte antigen (HLA) test drawn. For which health problems should the nurse potentially plan care for this patient?
 
  Select all that apply.
 
  1. osteoporosis
  2. Paget disease
  3. rheumatoid arthritis
  4. ankylosing spondylitis
  5. juvenile rheumatoid arthritis



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cassie_ragen

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Answer to Question 1

Correct Answer: 1, 2, 4, 5
A grading of 0 means no muscle function. A grading of 2 means function with passive range of motion. A grading of 5 means full range of motion against full resistance. A grading of 3 means full range of motion against gravity.

Answer to Question 2

Correct Answer: 4, 5
The human leukocyte antigen (HLA) test is used to diagnose diseases such as juvenile RA or ankylosing spondylitis. Alkaline phosphatase is used to diagnose bone diseases such as osteoporosis, Paget disease, and rheumatoid arthritis.





 

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