The nurse is assisting in performing a physical assessment of a right-handed client's musculoskeletal system. Which of the following would be an abnormal finding?
1. Presence of fasciculations
2. Muscle strength of normal power
3. Symmetrical movements bilaterally
4. Hypertrophy of right upper arm of 1 cm
1
Rationale: Fasciculations are fine muscle twitches that are not normally present. Hypertrophy, or increased muscle size, on the client's dominant side of up to 1 cm is considered normal. Muscle strength is graded from (paralysis) to (normal power). Symmetrical muscle movement is a normal finding.
You might also like to view...
A family that has three small children prepares to move an older female parent into their home knowing that she stays up all night. The nurse helps the family prepare for the change
Which part of planning should the nurse indicate is the family's priority? a. Sharing household responsibilities b. Preparing the house for her arrival c. Helping her use her skills and talents d. Setting limits on nighttime activities
The population health nurse is preparing a seminar on men's health issues for a community organization. For the presentation the nurse should explain that men are ________ as likely as women to die from heart disease and ________ times more likely
to commit suicide. 1. Three times, four. 2. Four times, two. 3. Twice, four. 4. Twice, six.
In which of the following patients has the order of priorities for nursing diagnoses changed? Select all that apply
A) a patient in a long-term care facility who had a stroke B) a patient who is recovering from a broken leg C) a patient who insists on using the bathroom instead of a bedpan D) a patient who appears confused after taking pain medication E) a pregnant patient whose contractions are progressing as anticipated F) a patient who has wounds that require stitches as well as a concussion
Which are examples of multifactorial diseases associated with adults?
a. Breast cancer b. Coronary heart disease c. Emphysema d. Diabetes mellitus e. Schizophrenia