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NSG 500
Exam 3: NSG 500 (Latest )
Advanced Health Assessment - Wilkes
1. OA joint considerations: -joint enlargement due to osteophites, -localized weakness
2. RA pain.. does it get better with rest?: -NO, the patient will experience pain at rest.
-It also causes atrophy of the muscles
3. Determining if a patient has scoliosis: Have patient bend over, assessing for lateral
curvature of the spine. The patient will have uneven shoulders
4. Considerations of a red inflammed/swollen joint: Infection vs. gout
-You need to rule out septic arthritis vs. gout.
-Gout will be able to perform ROM at
the swollen site -Septic arthritis can
NOT perform ROM
5. Drop arm/empty can test: Reduced strength with adduction.
Hands will be thumbs down
6. How do you grade strength?: 0 through 5
NSG 500
, 2
NSG 500
-0/5 is no movement (paralysis)
-3/5 movement against gravity
-4/5 weakness against resistance
-5/5 is full strength against resistance
NSG 500
NSG 500
Exam 3: NSG 500 (Latest )
Advanced Health Assessment - Wilkes
1. OA joint considerations: -joint enlargement due to osteophites, -localized weakness
2. RA pain.. does it get better with rest?: -NO, the patient will experience pain at rest.
-It also causes atrophy of the muscles
3. Determining if a patient has scoliosis: Have patient bend over, assessing for lateral
curvature of the spine. The patient will have uneven shoulders
4. Considerations of a red inflammed/swollen joint: Infection vs. gout
-You need to rule out septic arthritis vs. gout.
-Gout will be able to perform ROM at
the swollen site -Septic arthritis can
NOT perform ROM
5. Drop arm/empty can test: Reduced strength with adduction.
Hands will be thumbs down
6. How do you grade strength?: 0 through 5
NSG 500
, 2
NSG 500
-0/5 is no movement (paralysis)
-3/5 movement against gravity
-4/5 weakness against resistance
-5/5 is full strength against resistance
NSG 500
