The nurse is providing care to a client who is diagnosed with muscle spasticity. The client wants to know the difference between muscle spasticity and muscle spasm. Which response by the nurse is most appropriate?
1. "A muscle spasm causes certain muscle groups to remain in a continuous state of contraction."
2. "Muscle spasms include scissoring movements of the lower extremities."
3. "Muscle spasticity causes pain that is more intense than muscle spasm and produces greater impairment of mobility."
4. "Muscle spasticity is a chronic neurologic disorder that is characterized by involuntary muscle contraction that forces body parts into abnormal, painful movements or postures."
Correct Answer: 3
Rationale 1: Muscle spasticity, not muscle spasms, causes certain muscle groups to remain in a continuous state of contraction.
Rationale 2: Muscle spasticity, not muscle spasm, includes scissoring movements of the lower extremities.
Rationale 3: Muscle spasticity causes pain that is more intense than muscle spasm and produces greater impairment of mobility.
Rationale 4: Dystonia, not muscle spasticity, is a chronic neurologic disorder that is characterized by involuntary muscle contraction that forces body parts into abnormal, painful movements or postures.
Global Rationale: Muscle spasticity causes pain that is more intense than muscle spasm and produces greater impairment of mobility. Muscle spasticity, not muscle spasms, cause certain muscle groups to remain in a continuous state of contraction and includes scissoring movements of the lower extremities. Dystonia, not muscle spasticity, is a chronic neurologic disorder that is characterized by involuntary muscle contraction that forces body parts into abnormal, painful movements or postures.
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