During a physical assessment, the patient walks to the door of the examination room as the nurse watches the patient switch the weight on the feet. The nurse would document assessment of which part of the musculoskeletal status?
1. Knee extension
2. Second-phase gait
3. Hip flexion
4. First-phase gait
2
Rationale 1: Walking is not the best method of assessing knee extension.
Rationale 2: The assessment of gait has two phases. The second phase is the swing phase, in which the patient moves the foot forward and is not bearing weight on the moving foot. Weight is supported on the nonmoving foot. This is the phase the nurse is observing.
Rationale 3: Walking is not the most efficient way to assess hip flexion.
Rationale 4: The assessment of gait has two phases. The first phase is the stance of gait, in which the foot is on the ground and the patient is bearing weight or walking on the foot.
You might also like to view...
The nurse realizes that which of the following healing practices is used frequently by the Asian American cultural group?
a. Laying on of hands b. Acupuncture c. Amulets d. Azabache
A nurse researcher describes an instrument that is administered repeatedly and obtains the same results as having what?
a. Validity b. Reliability c. Consistency d. Predictability
A perinatal nurse assesses a term newborn for respiratory functioning. The nurse knows that which of the following conditions is normal for newborns:
Select all that apply: A) A respiratory rate of 60 to 80 breaths per minute B) A breathing pattern that is often shallow, diaphragmatic and irregular C) Periodic episodes of apnea D) The neonate's lung sounds may sound moist during early auscultation
The mutation of which gene is an early event associated with the pathogenetic origin of esophageal cancer?
a. KRAS b. TP53 c. myc d. HER2