NSG 233 Med Surg 3 Exam 4

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NSG 233 Med Surg 3 Exam 4 2023 Questions and Answers (Verified Answers)

1.0 out of 5 muscle strength scale: no detection of muscular contraction

2.1/5 on muscle strength scale: a barely detectable flicker or trace of

contraction with observation or palpation

3.2/5 on muscle strength scale: active movement of body part with

elimination of gravity

4.3/5 on muscle strength scale: active movement against gravity only

and not against resistance

5.4/5 muscle strength scale: active movement against gravity and

some resis- tance

6.5/5 on muscle strength scale: normal strength - active movement

against full resistance without evident fatigue 1 / 3

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7.What would be an abnormal finding when assessing the

musculoskeletal system: scoliosis

8.What are common movements that occur at the synovial joints?:

abduction, adduction, flexion, extension

9.How do you assess for scoliosis?: Ask the patient to place their hands

together above the head as if diving into a swimming pool and slowly bend forward at the waste, allowing for assessment of thoracic rib prominence and paravertebral muscle prominence.

10.Describe how scoliosis appears: lateral S-shaped curvature of the

thoracic and lumbar spine. Unequal should and scapula height is typically noted when observed from the back. Asymmetrical elevation of shoulders, scapulae, and iliac crests with lateral spine curvature

11.crepitation: frequent audible crackling sound with palpable grating

that ac- companies movement. (caused by fracture, dislocation, temporomandibular joint dysfunction, osteoarthritis

12.Clinical manifestations of CTS (carpal tunnel syndrome): weakness,

pain, numbness, or impaired sensation of the median nerve.clumsiness in performing fine hand movements is also common. 2 / 3

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Positive Tinel's Sign and Phalen's sign

13.How do you assess for Tinel's sign?: can be elicited by tapping over

the median nerve as it passes through the carpal tunnel in the wrist. A positive response is a sensation of tingling in the distribution of the median nerve over the hand. - indicates CTS 14.What is bursitis and what could cause it?: What it is: inflammation of the bursae.

Cause: results from repeated or excessive trauma or friction, gout,

RA, infection Other precipitating activities: improper body mechanics,

repetitive kneeling (gar-

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