The nurse plans to use a goniometer during assessment of a patient's musculoskeletal system. Which technique should the nurse use? Note: Credit will be given only if all correct choices and no incorrect choices are selected

Select all that apply. 1. Document the angle of the joint in range of degrees.
2. Place the fulcrum of the goniometer on the joint.
3. Place the movable arm of the goniometer on the stationary part of the joint.
4. Place the stationary arm of the goniometer on the part of the limb that will not move.
5. Move the patient's arm through the normal full range of motion.


1,2,4
Rationale 1: The nurse should document the angle of the joint in a range, e.g., 30 to 50 degrees.
Rationale 2: The fulcrum of the goniometer is placed exactly at the fulcrum of the joint.
Rationale 3: The movable arm of the goniometer is placed on the movable part of the joint.
Rationale 4: The stationary arm of the goniometer is placed on the stationary part of the limb.
Rationale 5: The patient moves the arm through as much range of motion as possible. This may not be the normal full range of motion.

Nursing

You might also like to view...

When teaching a pregnant woman with class II heart disease, the nurse should:

a. advise her to gain at least 30 pounds. b. explain the importance of a diet high in calcium. c. instruct her to avoid strenuous activity. d. inform her of the need to limit fluid intake.

Nursing

A client with pneumonia develops kidney stones while hospitalized. While the client is being evaluated for lithotripsy what should the nurse identify as the priority for this client's care?

1. Monitoring for edema 2. Skin care 3. Pain control 4. Administration of medication to break up the stones

Nursing

A nurse is explaining to a nursing student how clomiphene [Clomid] works to improve fertility. Which statement by the student indicates a need for further teaching?

a. "Clomiphene blocks estrogen receptors to cause increased secretion of gonadotro-pins." b. "Clomiphene directly stimulates the ovary, causing follicular maturation and ovulation." c. "If follicular maturation is the only result of clomiphene therapy, human chorionic gonadotropin may be given." d. "If the pituitary gland cannot produce LH and FSH, clomiphene will not be effec-tive."

Nursing

The mental health home care nurse says to the client, "Do you feel ready to try attending a group session at the clinic?" The client shakes his head. Which nursing statement would be therapeutic?

A. "No? Why not?" B. "You seem to be saying no. Would you tell me more about your reluctance?" C. "OK, but I hope you will let me know when you feel ready to attend a group session at the clinic." D. "Perhaps a group session would be too overwhelming for you right now. How about just seeing me?"

Nursing