Which does the nurse use to evaluate muscle strength?
1. Measures muscle size
2. Performs range of motion
3. Applies pressure against resistance
4. Observes the client's gait and transfers
3
3. The nurse applies pressure against the client's resistance to measure muscle strength to make the subjective evaluation safe.
1. Muscle size usually is an indication of muscle strength in a client who is conscious and cooperative.
2. Range of motion indicates flexibility of joints.
4. Observing a client's gait is a valuable measure of the client's muscle strength but is not used initially because it increases the risk of client injury.
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What will be an ideal response?