A community health nurse is providing education to help reduce musculoskeletal injuries in adults. What should the nurse include in these instructions? Select all that apply

Maintaining a body weight appropriate to height and frame

importance of regular exercise

Maintaining a safe home environment

Using proper body mechanics with lifting objects

Outing intake of dairy products

Answer and Explanation

Correct Answer : A,B,C,D

A.   Maintaining an appropriate body weight helps reduce the strain on the musculoskeletal system, including joints and muscles. Excess weight can increase the risk of injuries, especially to weight-bearing joints like the knees and hips.
B.   Regular exercise helps to strengthen muscles, improve flexibility, and maintain healthy joints. It also promotes overall physical fitness, which can prevent injuries by improving body mechanics and resilience.
C.   A safe home environment can help prevent falls and accidents that could lead to musculoskeletal injuries. This includes ensuring that walkways are clear, using non-slip mats, and having proper lighting.
D.   Using proper body mechanics involves techniques such as bending the knees, keeping the back straight, and lifting with the legs rather than the back. This helps prevent strain and injuries when lifting heavy objects.
E.   Dairy products are a source of calcium and vitamin D, which are important for bone health. Reducing dairy intake could impact bone density if not compensated by other sources of calcium and vitamin D.

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Correct Answer is C

Explanation

A. The Babinski reflex is a test used to assess the integrity of the corticospinal tract and is particularly useful in evaluating neurological function in infants and adults with neurological conditions. However, it is not specifically related to testing for meningeal irritation.
B. Positioning the client prone (lying on their stomach) is not typically used when testing for meningeal irritation. The tests for meningeal irritation, such as the Brudzinski sign and Kernig sign, are performed with the client in a supine (lying on their back) position to accurately assess reactions to neck flexion and leg movements.
C. Before performing tests for meningeal irritation, such as neck flexion, it is important to ensure that the client does not have an injury to the cervical spine. If there is a possibility of cervical spine injury, performing neck flexion could exacerbate the injury. Ensuring that there is no cervical spine injury helps to avoid causing harm and ensures a safe examination.
D. While fever and chills can be associated with infections that may cause meningeal irritation (such as meningitis), checking for these symptoms is not the first step in assessing meningeal irritation itself.

A. 3 B. 2 C. 1 D. 5

Correct Answer is A

Explanation

A. muscle strength grade of 3 indicates that the client can move the arm (or other limb) against gravity but not against any additional resistance. In this case, if the client is able to actively move the right arm against gravity, this is a correct grading. The ability to move the arm against gravity alone aligns with a grade of 3.
B. A muscle strength grade of 2 indicates that the client can move the arm (or other limb) only with gravity eliminated. This means that the client can move the limb when it is placed in a horizontal position but not against gravity. Since the client can move the arm against gravity, this grade is not applicable.
C. A muscle strength grade of 1 indicates that there is muscle contraction but no movement of the limb. This means there is some visible muscle activity but insufficient to cause any joint movement. Since the client is able to move the arm actively against gravity, this grade does not fit the observed finding.

D. A muscle strength grade of 5 indicates normal strength, where the client can move the limb against gravity and against full resistance. If the client can move the right arm against gravity but not necessarily against full resistance, this is not indicative of a grade of 5. The grade of 5 would be reserved for when the muscle can move against full resistance without difficulty.

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A community health nurse is providing education to help reduce musculoskeletal injuries in adults. What should the nurse include in these instructions? Select all that apply

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When preparing to test a client for meningeal irritation, what would the nurse do first?

Correct Answer is C

Explanation

A client is able to actively move the right arm against gravity. How should the nurse document this finding using the muscle strength grading?

Correct Answer is A

Explanation

Taste in the 1/3 posterior of your tongue is given by:

After a physical assessment, the nurse determines that a client has full range of motion of the temporomandibular joint. Which of the following assessments did the nurse complete with the client? Select all that apply.

Loss of bone density that occurs with greatest frequency in postmenopausal women is called?

A patient is able to move both upper arms as follows: active movement against gravity, and some resistance. The nurse should document the muscle strength of the upper arms as:

Stroke Warning signs includes? Select all that applied.

The nurse places a coin in the patient's hand, the patient is with eyes closed. The ability to identify an object by feeling it is defined as:

During an assessment, the nurse asks a client to explain what the following means: "A penny saved is a penny earned." The nurse is assessing which of the following?