You are performing muscle strength testing on a patient presenting with musculoskeletal pain and find that the patient has complete range of motion with gravity eliminated. Which numeric grade of muscle strength would you give this patient?
a. 1
b. 2
c. 3
d. 4
e. 5
ANS: B
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A patient is scheduled for enucleation and the nurse is providing anticipatory guidance about postoperative care. What aspects of care should the nurse describe to the patient? Select all that apply
A) Application of topical antibiotic ointment B) Maintenance of a supine position for the first 48 hours postoperative C) Fluid restriction to prevent orbital edema D) Administration of loop diuretics to prevent orbital edema E) Use of an ocular pressure dressing
The patient says to the nurse, "The staff treats me like I'm a child. Everyone tells me what to do. No one ever asks my opinion. After all, it is my body." Which response by the nurse indicates active listening?
a. "Well, you're sick. Don't you think you should let us take care of you?" b. "I don't think I can help you with this. This is a personal matter between you and the rest of the staff." c. "It makes you angry not to be included in your health care decisions. Let's talk about how you can vent your anger appropriately." d. "Let me see if I understand. It bothers you not to be recognized for your abilities to handle your life. I can discuss this with the staff if you wish so that everyone involves you in planning your care."
A nurse caring for a client who is undergoing withdrawal from alcohol and is severely malnourished is careful to prevent refeeding syndrome
Which of the following nutrients cause this condition when introduced into the starving person's system too quickly? A) Protein B) Carbohydrates C) Vitamin C D) Fats
What measure will facilitate communication with a client who is depressed and evidencing psy-chomotor retardation and withdrawal?
1. Ask client to indicate yes or no with finger signals. 2. Arrange to spend time with client at prearranged intervals. 3. Give directions rather than asking questions. 4. Speak loudly and rapidly to the client to focus his or her attention.