nur 310 musculoskeletal and neurological questions
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University Of Alabama - Birmingham
NUR 310
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NUR 310 Musculoskeletal and Neurological Questions With
Complete Solutions
Abduction: Correct Answer Away from the midline or other
reference point
Away from body
Abnormal findings associated with gait: Correct Answer Note
any shuffling, widely placed feet, toe walking, foot flop, leg lag,
scissoring, or loss of arm swing
Abnormal gait may indicate... Correct Answer Risk for injury,
intoxication, or a neuromuscular disorder
Active ROM: Correct Answer When the person's muscle tone
and strength is able to support each movement with minimal
effort and without assistance
Adduction: Correct Answer Toward midline or other reference
point
,Circumduction: Correct Answer Ball and socket joint in full
ROM
Contractures: Correct Answer Joint deformity that primarily
affect one side (unilateral) and result in a limited range of
motion
Result of disuse, atrophy, and shortening of the muscles caused
by injury or neurological damage
Seen a lot in stroke patients
Deep tendon reflex (DTR): Correct Answer Elicited by tapping
a tendon - limb should be relaxed and the muscle partially
stretched
Dorsal flexion: Correct Answer Flexed toward dorsum or upper
surface
Ergonomics: Correct Answer Focus on reducing stress and
eliminating injuries related to overuse of muscles, repetitive
movements, and poor posture/lifting techniques
Eversion: Correct Answer Sole of foot out
Explain how to assess muscle strength Correct Answer Ask the
patient to flex and hold the muscle as you apply opposing force
against the flexion
Compare muscle strength bilaterally
, Explain how to assess position of the upper and lower
extremities Correct Answer Test great toe of each foot and
finger of each hand on the lateral aspect
Flex or extend the finger
The patient should tell you when he feels the finger moving and
in which direction
Explain how to assess superficial pain and light touch for the
upper and lower extremities Correct Answer This assess
intactness of the spinothalamic tract and patient's ability to
perceive a pinprick
Alternately touch the patient's skin with a sharp pin and wisp of
cotton, allowing 2 seconds between each stimulus. Ask the
patient to identify as sharp or dull (superficial pain) and point to
the area where it was felt (superficial touch)
Explain how to assess the Romberg test Correct Answer
Instruct patient to stand, feet together, arms at side, eyes open
and then closed
Be sure to be near patient and protect them from falling
Slight swaying movement of the body is normal
Explain how to palpate the calf for deep phlebitis Correct
Answer The Homan's sign is an indicator of this
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