To assess a male client's muscle strength, the nurse first asks the client to extend his arms. Before asking the client to flex his arms, what should the nurse do?

Give the client an object to hold.

Instruct the client to close his eyes.

Apply resistance to the client's arms.

Palpate the client's muscle tone.

Answer and Explanation

The Correct Answer is C

Choice A Reason:
Giving the client an object to hold is not the most appropriate action before asking the client to flex his arms to assess muscle strength. While providing an object to hold may engage the muscles, it does not specifically target the muscles involved in arm flexion, which are primarily the biceps brachii and brachialis muscles. Therefore, it may not accurately assess muscle strength during arm flexion.
Choice B Reason:
Instructing the client to close his eyes is not the most appropriate action before asking the client to flex his arms to assess muscle strength. Instructing the client to close his eyes primarily tests proprioception and balance rather than muscle strength. While proprioception is an important aspect of overall neurological function, it is not directly related to assessing muscle strength during arm flexion.
Choice C Reason:
Applying resistance to the client's arms is the most appropriate action before asking the client to flex his arms to assess muscle strength. Applying resistance to the client's arms during flexion allows the nurse to evaluate the client's ability to generate force against resistance, providing a more accurate assessment of muscle strength in the biceps brachii and brachialis muscles.
Choice D Reason:
Palpating the client's muscle tone is not the most appropriate action before asking the client to flex his arms to assess muscle strength. While palpating muscle tone is important for assessing muscle integrity, it does not directly evaluate muscle strength during arm flexion. Muscle tone refers to the resting tension in a muscle and may not accurately reflect muscle strength during active movement.

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Correct Answer is C

Explanation

Choice A Reason:
History of a fractured patella is incorrect. While a history of a fractured patella may lead to some degree of crepitation in the knee joint, especially if there was damage to the articular surfaces during the injury, it is less likely to cause widespread crepitation with joint movement. Crepitation associated with a fractured patella would typically be localized to the site of injury rather than throughout the joint.
Choice B Reason:
Knee arthroplasty surgery is incorrect. Knee arthroplasty surgery involves the replacement of a damaged knee joint with an artificial prosthesis. While crepitation can occur in some cases following knee arthroplasty, it is less likely to be the cause of crepitation observed in this scenario, especially if the client's knee arthroplasty was successful and without complications.
Choice C Reason:
Degenerative disease is correct. Degenerative disease of the knee joint, such as osteoarthritis, is a common cause of crepitation during joint movement. Osteoarthritis is characterized by the breakdown of cartilage in the joints, leading to friction between bones and resulting in crepitus. This condition is often associated with aging, repetitive stress on the joints, or underlying joint abnormalities.

Choice D Reason:
Needle aspiration of the synovial space is incorrect. Needle aspiration of the synovial space is a procedure performed to remove excess fluid or to obtain a sample of synovial fluid for diagnostic purposes. While this procedure may be performed for various reasons, it is not directly associated with crepitation in the knee joint.

A. Nothing by mouth. B. Electrocardiogram. C. Monitor urinary output. D. Complete bed rest.

Correct Answer is A

Explanation

Choice A Reason:
During an abdominal assessment, the client's pain and abrupt cessation of inhalation during deep palpation, especially when accompanied by a high fever (103° F or 39.4° C), is indicative of potential peritonitis or an acute abdomen condition (e.g., appendicitis).Keeping the client NPO (nothing by mouth) is crucial to prepare them for potential emergency surgical intervention. Eating or drinking could complicate anesthesia and the surgical procedure.
Choice B Reason:
Electrocardiogram is incorrect. An electrocardiogram (ECG) may be indicated to assess cardiac function and rule out cardiac causes of chest pain or discomfort, particularly if there are associated symptoms such as shortness of breath or palpitations. However, in this scenario, the client's symptoms (abdominal pain, sudden cessation of inhalation during deep palpation, and elevated temperature) suggest a more immediate concern related to the abdominal condition rather than a primary cardiac issue.
Choice C Reason:
This is important for overall patient monitoring, but it is not the immediate priority for managing acute abdominal pain with suspected peritonitis.
Choice D Reason:
Complete bed rest is incorrect. Complete bed rest may be recommended in some cases of acute illness or injury to promote healing and prevent further exacerbation of symptoms. However, in this scenario, the client's symptoms suggest a potentially serious abdominal condition requiring further assessment and intervention beyond bed rest alone.

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To assess a male client's muscle strength, the nurse first asks the client to extend his arms. Before asking the client to flex his arms, what should the nurse do?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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