The nurse is preparing to assess a client's spine for abnormalities. Which command to the client during this assessment is most appropriate for the nurse to initiate?
1. Sit down, then stand as the nurse looks from the front of the client.
2. Stand, bend back slowly, then to the right and left while the nurse looks from the back.
3. Bend over, stand tall, and stretch arms over the head.
4. Sit down, then lean forward and dangle the arms at the sides of the body.
Correct Answer: 2
The spine should be visually inspected by viewing the back of the client. The client should be asked to stand during this assessment. This will allow the nurse to assess for symmetry. The spine should appear straight when viewed from the back. The cervical and lumbar spine should appear concave, and the thoracic spine should appear convex. Bending and stretching will not illicit the needed information about the spine. Range of motion and flexibility may be assessed by asking the client to bend over or stretch.
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