The nurse is performing a musculoskeletal assessment on a client admitted with a possible cerebrovascular accident (stroke) . When testing for muscle grip strength, the nurse should ask the client to:
A) grasp the nurse's index and middle fingers while the nurse tries to pull the fingers out.
B) hold an arm up and resist while the nurse tries to push it down.
C) shrug the shoulders against the resistance of the nurse's hands.
D) flex each arm and then try to extend it against the nurse's attempt to keep the arm in flexion.
Correct Answer:
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