Asked by Veronica Beltran on May 17, 2024
Verified
The nurse applies resistance to the top of the client's foot and asks him to pull his toes toward his knee.The nurse observes active motion against some,but not against full,resistance.How should the nurse document this finding?
A) 5: Normal
B) 4: Slight weakness
C) 3: Weakness
D) 2: Poor ROM
Active Motion
Movement initiated and performed by an individual without assistance, reflecting the range of motion and strength of muscles and joints.
Slight Weakness
A minor or mild loss of strength in one or more muscles, not typically indicative of a serious condition.
ROM
Range of Motion; the full movement potential of a joint, usually its range of flexion and extension.
- Absorb and make sense of pivotal vital statistics and physical examination findings in adults.
- Accurately document physical examination findings.
Verified Answer
NV
Naman VermaMay 19, 2024
Final Answer :
B
Explanation :
The nurse should document 4: Slight weakness.The following is the muscle strength rating scale: 
Learning Objectives
- Absorb and make sense of pivotal vital statistics and physical examination findings in adults.
- Accurately document physical examination findings.
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