When the nurse is assessing muscle strength and movement, it is important to do which of the following?

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When assessing muscle strength and movement, it is important to observe whether strength and movement are bilaterally equal and strong. This helps the nurse identify any muscle weakness or impairment. Grading the posterior tibial pulses (A) is not related to muscle strength and movement assessment. Flaccidity (B) is a term used to describe the lack of muscle tone or strength, so grading it is redundant. Asking the patient to walk normally in a heel-to-toe sequence (D) is a specific test of gait and not a comprehensive assessment of muscle strength and movement.

When the Nurse Is Assessing Muscle Strength and Movement, It