The nurse learns that when a 75-year-old client bends forward to test flexion of the spine, the client is unable to touch the toes and has difficulty straightening after the test
Which of the following would explain these findings in this client? 1. The client has a herniated disk.
2. The client has a fractured hip.
3. Degeneration of the vertebral joints has caused thickening of the synovial fluid.
4. Muscle fibers decrease as a normal part of the aging process.
3. Degeneration of the vertebral joint has caused thickening of the synovial fluid.
Rationale:
Bending over to touch the toes is a test of spine flexion. The elderly client's inability to touch the toes could be due to degeneration of the vertebral joints, which causes thickening and decreased viscosity of the synovial fluid. The client would exhibit a list in the presence of a herniated disk. There is no evidence to suggest the client has a fractured hip. Muscle fibers do decrease as a normal part of the aging process but would not explain why the client is unable to toes the toes.
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