A client is recovering from a football accident and is participating in physical therapy. When the nurse assesses his muscle strength, she notes that he can ambulate by himself with the assistance of a cane
When asked, the client squeezes both of the nurse's hands moderately
firm but can only push with some resistance against the nurses' hand. How would you rate his
muscle strength?
a. 0 = no muscular contraction d. 4 = active movement against gravity
and some resistance
b. 1 = barely flicker of contraction e. 5 = active movement against full
resistance with no fatigue
c. 2 = active movement against gravity
ANS: d
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The nurse is teaching a class about potential poisons in the home and options for treatment to a group of parents with small children. One of the parents asks the nurse about the use of syrup of ipecac
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A nurse who regularly visits an adult daycare center has noted evidence of a hearing deficit in a man who has no documented history of hearing loss
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