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Question 9Type: MCSAA patient tells the nurse that he has had increasing difficulty bending his knees to pick objects up from the floor since he got a desk job about 10 months ago. The nurse suspects that the patient's loss of knee and hip range of motion would be due to which condition?1. Gout2. Muscle spasms3. Pain
4. AtrophyCorrect Answer: Rationale 1: Gout is an inflammation of the great toe, heel, elbow, or ankles and would not cause difficulty bending the knee or hip.Rationale 2: The patient’s complaint is not typical of muscle spasms.Rationale 3: The patient does not use the word “pain” or “discomfort” in his description, but describes “difficulty.”Rationale 4: Reduced ROM can occur from disuse of the muscles, leading to atrophy.4Global Rationale: Cognitive Level: AnalyzingClient Need: Physiological IntegrityClient Need Sub: Physiological AdaptationNursing/Integrated Concepts: Nursing Process: AssessmentLearning Outcome: 48-3Question 10Type: MCSAThe nurse asks the patient to shrug the shoulders while the nurse applies pressure to keep the shoulders from moving. The nurse would document the results of this test as indicating strength of which muscle?4Global Rationale:
Cognitive Level: ApplyingClient Need: Health Promotion and MaintenanceClient Need Sub: Nursing/Integrated Concepts: Nursing Process: AssessmentLearning Outcome: 48-3Question 11Type: MCSAThe nurse wishes to test opposition ability in the patient’s thumb. How would the nurse instruct the patient?1