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. Abdominal distention can occur due to gas accumulation from undigested lactose.
B. Visible peristalsis is not typically a specific clinical finding associated with lactose intolerance.
C. Hypoactive bowel sounds are not commonly associated with lactose intolerance.
D. Occasional diarrhea is a common symptom due to the inability to digest lactose properly.
E. Flatus or excessive gas production is a common symptom due to the fermentation of undigested lactose by intestinal bacteria.

A. Observing for facial symmetry B. Checking the pupillary response to light C. Testing visual acuity D. Eliciting the gag reflex

Correct Answer is B

Explanation

A. Observing for facial symmetry is more related to Cranial Nerve VII (Facial nerve) function.
B. Cranial Nerve III (Oculomotor nerve) controls the pupillary response to light, as well as eye movement.
C. Testing visual acuity is associated with Cranial Nerve II (Optic nerve).
D. Eliciting the gag reflex involves the Cranial Nerve IX (Glossopharyngeal nerve) and Cranial Nerve X (Vagus nerve).

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has lactose intolerance. Which of the following will the nurse recognize as clinical findings associated with lactose intolerance? Select all that apply:

Correct Answer is ["A"]

Explanation

A nurse is assessing a client's cranial nerves as part of a neurological examination. Which of the following actions should the nurse take to assess cranial nerve III?

Correct Answer is B

Explanation

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