The nurse is assessing a patient's muscle strength and movement. What should the nurse do when completing this assessment?
A. Grade flaccidity.
B. Ask the patient to walk normally in a heel-to-toe sequence.
C. Observe whether strength and movement are bilaterally equal and strong.
D. Grade the posterior tibial pulses.
Answer: C
You might also like to view...
In planning care for the elderly population, the nurse should be aware that this population is susceptible to environmental hazards due to:
A) increased metabolic rate. B) increased surface-to-body mass ratio. C) increased blood flow. D) reduced cell-mediated immunity.
What is a normal blood pressure?
Assumption 8 states: "Public health nursing practice utilizes a common set of interventions regardless of practice setting." This implies
1. Interventions are characterized by wedges that clearly state the order of implementation. 2. The Intervention Wheel encompasses surveillance as the main element. 3. Interventions guide practice and are subject to regulatory agency protocols. 4. Interventions are actions taken on behalf of communities, systems, individuals, and families to improve or protect health status.
Which side effect should the nurse include in the parent teaching for a child who is prescribed a baclofen pump for cerebral palsy?
1. Diarrhea 2. Hypertonia 3. Hypotonia 4. Restlessness