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During the neurologic assessment of a healthy 35 year

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22. During the neurologic assessment of a “healthy” 35-year-old patient, the nurse asks him to relax hismuscles completely. The nurse then moves each extremity through full range of motion. Which of theseresults would the nurse expect to find?a. Firm, rigid resistance to movementb. Mild, even resistance to movementc. Slight pain with some directions of movementd. Hypotonic muscles as a result of total relaxation.ANS: B
Tone is the normal degree of tension (contraction) in voluntarily relaxed muscles. It shows a mildresistance to passive stretching. Normally the nurse will notice a mild, even resistance to movement. Theother responses are not correct.23. When the nurse asks a 68-year-old patient to stand with his feet together and arms at his side withhis eyes closed, he starts to sway and moves his feet farther apart. How should the nurse document thisfinding?
24. The nurse is performing an assessment on a 29-year-old woman who visits the clinic reporting“always dropping things and falling down.” While testing rapid alternating movements, the nurse noticesthat the woman is unable to pat both of her knees. Her response is extremely slow and she frequentlymisses. What should the nurse suspect?

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