Exam 3 Flashcards
What is a full ROM against gravity with some resistance graded as?
4
What is the graded muscle strength for a client who cannot resist gravity?
2
What are the parameters of the muscle strength scale?
0-5
-contracture-full ROM
Muscle strength grade 5?
ROM full
Between what grades of muscle strength is considered active?
3-5
What is a contracture?
fixed joint, which is graded as a 0 for ROM
What is clonus?
Very strong deep tendon reflex, +4
What is the grading scale for deep tendon reflexes?
0-4
What is the grade for no deep tendon reflex?
0
What is the grade for a weak deep tendon reflex?
1
What is the grade for an expected deep tendon reflex?
2
What grade indicates a strong deep tendon reflex?
3
What grade is associated with a very strong/hyperactive deep tendon reflex?
4
What type of assessment interprets how pain and loss of function will impact ADLs?
functional assessment
What ROM is performed when rotating the arms internally?
internal rotation
What is scoliosis?
abnormal lateral curvature of the spine
What is the exaggerated curvature of the thoracic spine called?
kyphosis
What is known as a tingling/numbness sensation?
paresthesia
What is paresis?
partial paralysis
What cranial nerve assesses for wrinkling of the forehead, eyes closing, and smiling?
VII (7) -facial
What does a positive Romberg test indicate?
loss of balance
What is pronation?
turning the forearms so that the palm is down
What is eversion?
turning inside out
The nurse is assessing range of motion in a client who is able to actively achieve full range of motion against full resistance. How will the nurse grade this client’s muscle strength?
grade 5