The nurse assesses that a patient is unable to completely straighten his right arm. This finding could indicate which of the following?
1. Muscle atrophy
2. Muscle fasciculation
3. Gout
4. The presence of nodules
Muscle atrophy
Rationale: Muscle atrophy is the shortening of a muscle, which is evidenced by the patient's inability to completely straighten his arm. Muscle fasciculations are abnormal contractions within a muscle. Gout is an inflammation of a toe, heel, elbow, or ankle. Nodules are small raised areas that are found upon palpation.
You might also like to view...
Application of nursing research results to community health nursing practice is essential. Which of the following must occur first before results can be applied?
A) Be informed about research findings B) Demonstrate skill in examining research reports C) Assess abstracts of relevant research studies D) Check if the study was funded by a drug company
Mr. Lacuna is a 83-year-old resident of a long-term care facility who has a diagnosis of moderate Alzheimer disease
Mr. Lacuna's physician recently prescribed oral rivastigmine, but he was unable to tolerate the drug due to its gastrointestinal effects. As a result, he has been ordered the transdermal patch form of the medication. When administering this form of rivastigmine, the nurse should A) teach Mr. Lacuna about the importance of rotating sites when he applies the patch. B) teach Mr. Lacuna's family to apply a second patch if they notice an acute exacerbation of his confusion. C) apply the patch to Mr. Lacuna's back to reduce the chance that he will remove it. D) apply the patch to a mucous membrane to facilitate complete absorption.
A client is practicing using an incentive spirometer after surgery. The nurse has explained the use, demonstrated how it works, and also given the rationale for the client to continue to use this device
When mastering the use of this device, the client will demonstrate learning in which of Bloom's domains? 1. Cognitive 2. Psychomotor 3. Affective 4. Imitation
The nurse is applying pneumatic compression boots on a post-operative craniotomy patient. The reason for this device is to reduce the risk of developing:
1. Meningitis 2. A deep vein thromboembolism 3. A cerebrospinal fluid leak 4. Seizures