When assessing a patient's musculoskeletal status,
a. warn the patient when there may be discomfort
b. stretch all joints to their maximum limit
c. know that a 0 rating of muscle tone means weakness
d. know that a 0 rating on flexibility means total inflexibility
A
The nurse should not perform or encourage the patient to stretch all joints to their maximum limit. A 0 rating of muscle tone represents a complete absence of weakness. A 0 rating on flexibility represents a complete absence of stiffness and total flexibility. The nurse should warn the patient that there might be discomfort when moving a patient's joints and limbs while performing the musculoskeletal status assessment.
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