The nurse is preparing to complete a muscle strength assessment on a client. Which of the following assessment techniques should the nurse utilize?

estimate the degree of flexion and extension in each joint.

measure the degree of force that it takes to overcome joint flexion or extension.

apply an opposing force when the individual puts a joint in flexion or extension.

observe muscles for the degree of contraction when the individual lifts a heavy object.

Answer and Explanation

The Correct Answer is C

A.   Estimating the degree of flexion and extension in each joint primarily assesses the range of motion, not specifically muscle strength.
B.   Measuring the degree of force required to overcome joint flexion or extension may assess resistance but doesn't directly evaluate muscle strength.
C.   Applying an opposing force when the individual puts a joint in flexion or extension is an accurate method to assess muscle strength, as it evaluates the force the muscle can generate against resistance.
D.   Observing muscles for contraction while lifting a heavy object evaluates muscle usage but doesn’t offer a standardized way to assess muscle strength.

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Correct Answer is A

Explanation

A. The Cowper gland, also known as the bulbourethral gland, secretes a thin, milky alkaline fluid that neutralizes acidity in the urethra and enhances sperm viability.
B. The prostate gland secretes a milky, slightly acidic fluid that nourishes and protects sperm, contributing to semen volume.
C. The bulbourethral gland (Cowper gland) is responsible for producing the thin, alkaline fluid that neutralizes the urethra and enhances sperm viability.
D. The median sulcus refers to a groove or depression on the surface of an organ and is not associated with secretion in the reproductive system.

A. Recognizes this dullness as indicative of an enlarged liver, and refers the client to a provider B. Document the presence of hepatomegaly C. Ask additional health history questions regarding alcohol intake D. Recognizes this finding as normal, and proceed with the examination

Correct Answer is A

Explanation

A. Dullness above the right costal margin could indicate an enlarged liver. Referring the client to a healthcare provider is crucial for further evaluation and diagnosis.
B. Documenting hepatomegaly without further investigation or confirmation by a healthcare provider could be premature.
C. While alcohol intake can be a factor in liver conditions, additional history alone may not confirm the cause of the dullness. Direct evaluation by a healthcare provider is necessary.
D. Finding an area of dullness above the right costal margin, particularly of such magnitude, should prompt further investigation rather than being considered normal.

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The nurse is preparing to complete a muscle strength assessment on a client. Which of the following assessment techniques should the nurse utilize?

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Naxlex Comprehensive Predictor Exams

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