Your client can achieve complete range of motion of both elbows only as you support her joints and without applying manual resistance. How would you record her muscle strength?

a. 4/5, good c. 2/5, poor
b. 3/5, fair d. 1/5, trace


C
A muscle strength of 2/5, or 25%, means that complete range of joint motion is possible only with the joint supported by the nurse to eliminate the force of gravity and without any manual resistance from the nurse. A 4/5, or 75%, means that complete range of joint motion is possible against both gravity and moderate manual resistance from the nurse. A rating of 3/5 is fair, meaning complete range of joint motion is possible only without manual resistance from the nurse. A rating of 1/5 is considered trace and means that muscle contraction is detectable, but insufficient to move the joint even when the forces of both gravity and manual resistance have been eliminated.

Nursing

You might also like to view...

The nurse differentiates the microdrip IV administration set as providing 60 gtt/ml Standard Text:

What will be an ideal response?

Nursing

The Iowa Model identifies problem-focused triggers for implementing an EBP project. Which of the following is a problem-focused trigger in the Iowa Model?

A) A finding published recently in a nursing journal B) A new clinical guideline issued by a federal agency C) An increase in latex allergy among emergency room nurses D) Questions from hospital committee

Nursing

The community health nurse is providing education to a group of adults on prevention of bladder cancer. Which modifiable risk factor will the nurse identify as the most important in the prevention of bladder cancer?

A) Obesity B) Smoking C) Hyperlipidemia D) Sedentary lifestyle

Nursing

Which statement about dietary concepts for a patient with diabetes is true?

a. Alcoholic beverage consumption is unrestricted b. Carbohydrate counting is emphasized when adjusting dietary intake of nutrients c. sweeteners should be avoided because of the side effects d. both soluble and insoluble fiber foods should be limited

Nursing