The nurse asks the patient to shrug the shoulders while the nurse applies pressure to keep the shoulders from moving. The nurse would document the results of this test as indicating strength of which muscle?

1. Sternocleidomastoid
2. Triceps
3. Biceps
4. Trapezius


4
Rationale 1: The sternocleidomastoid muscle is assessed with the neck; the patient is asked to turn the head against resistance applied by the nurse's hand.
Rationale 2: The triceps muscle is assessed by having the patient extend the arm while the nurse tries to flex it.
Rationale 3: The biceps muscle is assessed by asking the patient to flex the arm while the nurse tries to extend it.
Rationale 4: The trapezius muscle is assessed to determine the status of the patient's shoulder functioning. The patient is asked to shrug the shoulders while the nurse tries to hold the shoulders down.

Nursing

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