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.

Asked the client to swallow

Asked the client to extend the tongue

Asked the client to rock the jaw laterally

Asked the client to open and close the mouth

Asked the client to jut the jaw forward

Answer and Explanation

Correct Answer : C,D,E

A.   Swallowing involves the muscles of the throat and esophagus rather than the TMJ.
B.   Extending the tongue involves the muscles of the tongue and mouth, which are not directly related to the TMJ.
C.   Rocking the jaw laterally (side to side) is a specific movement that involves the TMJ. This movement tests the ability of the TMJ to move the jaw from side to side.
D.   Opening and closing the mouth involves the primary hinge movement of the TMJ. This movement assesses the vertical range of motion of the jaw.
E.   Jutting the jaw forward (protrusion) involves moving the lower jaw forward in relation to the upper jaw. This movement tests the ability of the TMJ to perform anterior movement.

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Correct Answer is A

Explanation

A. 3- This is the lowest possible score on the GCS and reflects no eye opening, no verbal response, and no motor response to stimuli. Score of 4-6: The patient might exhibit some responses, but these responses are still severely impaired. For example, the patient might open their eyes to pain but not respond verbally or move purposefully.
B. A GCS score in the range of 13 to 15 reflects a higher level of consciousness.
C. A GCS score of 0 is not a valid score on the scale.
D. A GCS score in the range of 9 to 12 reflects moderate impairment of consciousness.

A. Kyphosis B. Lordosis C. Osteoporosis D. Scoliosis

Correct Answer is C

Explanation

A. Kyphosis is a condition characterized by an excessive outward curvature of the thoracic spine, leading to a hunchbacked appearance. It often results from degenerative diseases, osteoporosis, or other spinal conditions.
B. Lordosis refers to an excessive inward curvature of the lumbar spine, often referred to as "swayback." This condition can be congenital or due to other factors like obesity or pregnancy.
C. Osteoporosis is a bone condition characterized by decreased bone density and strength, leading to an increased risk of fractures. It is particularly common in postmenopausal women due to decreased estrogen levels, which help maintain bone density.
D. Scoliosis is a condition characterized by an abnormal lateral curvature of the spine. It can be congenital, idiopathic, or secondary to other conditions.

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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.

Nursing Test Bank

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