The nurse rates a patient's biceps muscle strength as a 3. This finding would indicate which of the following?
1. Active ROM with gravity and moderate weakness
2. Complete active ROM with minimal weakness
3. Passive ROM
4. Complete ROM with no weakness
Active ROM with gravity and moderate weakness
Rationale: Muscle strength is graded on a scale from 0 to 5. Grade 3 is active ROM with gravity and moderate weakness. Grade 4 is complete active ROM with minimal weakness. Grade 2 is passive ROM. Grade 5 is complete ROM with no weakness.
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The nurse notices a colleague is preparing to check the blood pressure of a patient who is obese by using a standard-sized blood pressure cuff. The nurse should expect the reading to:
a. Yield a falsely low blood pressure. b. Yield a falsely high blood pressure. c. Be the same, regardless of cuff size. d. Vary as a result of the technique of the person performing the assessment.
Although the patient denies pain, she is irritable, responds slowly, and exhibits periods of tachycardia; therefore, the nurse assesses for:
a. electrolyte imbalance. b. allergic response. c. sleep deprivation. d. constipation.
A 60-year-old male patient is planning to marry a woman in her 30s and is concerned about the need for contraception. How should the nurse respond to this patient?
1. "After age 50, you are considered virtually infertile." 2. "It is still possible at this time of life to father a child." 3. "You should have a vasectomy to avoid fathering a child." 4. "You will only need to be concerned about fertility for another few years."
What s the most common malignant bone tumor diagnosed during childhood?
a. Chondrosarcoma b. Fibrosarcoma c. Ewing Sarcoma d. Osteosarcoma