When recording findings of muscle strength, the nurse records a 2 for the right arm. This means that the muscles of the arm show:
1. weak contraction.
2. muscle movement when supported.
3. active muscle movement without support.
4. full active range of motion against resistance.
2
A 2 on the muscle-grading scale means that there is muscular movement when supported.
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According to Piaget's developmental theory in the cognitive dimension, which of these tasks is associated with the formal operations stage?
a. forming fulfilling peer relationships b. engaging in abstract reasoning and problem solving c. learning to rely on caregivers to meet needs and desires d. relating successfully to peers of the same gender
A nurse is assessing a young woman who recently lost her job. She has no way to support her family and has found herself living on the streets because she doesn't have any other family in the area. Which of the following is the best way to proceed?
A. Look at the broader picture and see if there are any opportunities for policy change. B. Refer her to a shelter and document. C. Offer her a job-training program. D. Ask her to come back in 6 months for a reevaluation.
The nurse is caring for a postoperative adult client who has developed pneumonia. The nurse should assess the client frequently for symptoms of
A) Atelectasis B) Bronchospasm C) Croup D) Epiglottitis
The nurse has been requested to investigate the outbreak of H1N1 in the community. In documenting the outbreak, which should be included in its description? Select all that apply
A) The names of all people who have been infected by the virus B) The geographical area within which the outbreak has occurred C) A brief history of all of the other viral outbreaks that have occurred in the community in recent years D) The time of onset and duration of the outbreak E) The anticipated economic impact of the outbreak on the community