To assess muscle tone, the clinician should:
A. Palpate the patient's muscle as the muscle is passively stretched
B. Examine how the patient performs active range of motion
C. Palpate the muscles comparing side to side
D. A and C
ANS: D
To assess muscle tone, passively stretch the muscle, ask the patient to relax, and then palpate the muscle, comparing side to side. Alternatively, assessment of muscle tone can be combined with a determination of the patient's resistance to passive movement. Tense patients, those with increased muscle tone, will have increased resistance to passive movements. Flaccid or hypotonic muscles do not have any palpable tension. A spastic muscle has increased resistance, which may vary as the limb is moved, as in "cogwheeling," such as that found in patients with parkinsonism. Resistance with both flexion and extension is called lead-pipe rigidity, as is sometimes seen in parkinsonism.
You might also like to view...
________________ of practice is a phrase that is used to describe what tasks and duties the members of a particular occupation are legally permitted to perform
Fill in the blank(s) with correct word
Using a blood pressure cuff that doesn't fit the client properly can result in an incorrect BP reading. The BP cuff's bladder should encircle what percentage of the client's arm?
a. 25% c. 80% b. 50% d. 100%
An older adult woman of Chinese ancestry refuses to eat at the nursing home, stating, "I'm just not hungry." What factors should the staff assess for this problem?
A) The woman does not like to eat with other residents of the home. B) The woman is using this as a means of going home. C) The food served may not be culturally appropriate. D) The food served may violate religious beliefs.
What is the highest priority health teaching for a client who has taken an antidiarrheal medication?
a. Instruct the client to avoid taking sedatives or tranquilizers with the antidiarrheal. b. Advise the client to consume all food with milk products until diarrhea ceases. c. Advise the client that overuse of antidiarrheals may result in continuous diarrhea. d. Instruct the client to withhold water and fluids until diarrhea has ceased.