This would represent which muscle strength grading?

You are testing the biceps strength in a young man following a spinal trauma from a motor vehicle accident. He cannot lift his hand upward, but if the arm is abducted to 90 degrees, he can then move his forearm side to side.

A) I
B) II
C) III
D) IV


B) II

The ability to move an extremity, but not against gravity, represents a strength of 2 out of 5. Zero represents no muscular contraction detected (not even a “flicker”); one represents a contraction but no movement of the extremity; three means that the extremity can move against gravity but not against resistance; four means perceived weakness but the patient can oppose some resistance; and five is normal.

Nursing

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A nurse is working with a group of older adult clients at a community health center. Several clients report growing concerns about their dental health

They state they need to have dental work done despite continuing the same hygiene habits they have employed for years. They inquire about the underlying cause for these changes. Based on this data, which response by the nurse is the most appropriate? A) "It is common for dental health to decline with aging." B) "Aging increases saliva production, which increase exposure of the tooth's enamel to corrosive agents." C) "A decrease in bone density is associated with aging, which can result in tooth decay and breakage." D) "Metabolic changes in aging contribute to dental destruction."

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Jamie, who has ALS, is going home today after a bout with pneumonia. His parents are fearful that it might be too soon to take over his care without the backup of the nurses and doctors they have relied on at the hospital the past week

a. What are some psychological issues you can address with the family and Jamie before they go home to make them feel more comfortable?

Nursing

The nurse is conducting an assessment of a new client who has been using megadoses of nutritional supplements for several years

The nurse is aware that consistently high doses of many vitamins have no adverse effects; however, long-term exposure to synthetic folic acid may do which of the following? A) Mask a deficiency of vitamin B12 B) Can cause a temporary sensory neuropathy C) May increase the risk of heart disease D) Increase the need for other B vitamins

Nursing

While being assessed, a patient tells the nurse that she has many stresses in her life. Of these stresses, which of the following would be considered an external stressor?

1. Rigid rules on the job 2. The need to please everyone 3. Workaholic 4. Use of caffeine

Nursing