NUR 2180 Physical Assessment Module 4 Quiz Focused Review

Physical Assessment
Module 4 Quiz Focused Review
Cancerous skin changes
oABCDE assessment
A: asymmetry
B: boarder
C: color
D: diameter
E: elevation and enlargement
Edema classification
oEdema is an accumulation of fluid under the skin often seen in the lower extremities.
Pitting edema is often due to fluid and is indicated by indentations when pressure is applied to the skin.
Pitting edema is graded 1+ to 4+
Non-Pitting edema
Scoliosis, kyphosis, lordosis differences
oScoliosis
abnormal curvature.”S” shaped spine
Grading of Strength
oTest strength of prime mover muscle groups for each joint; repeat motins for active ROM
oAsk person to flex and hold as you apply opposite force
oMuscle strength should be equal bilaterally and should fully resist opposing force.
5- Full ROM against gravity, full resistance
4- Full ROM against gravity, some resistance
3- Full ROM with gravity
2- Full ROM with gravity eliminated (passive motion)
1- Slight contraction
0- No contraction
Active vs passive range of motion
oPassive ROM
 is if a person is unable to move independently
 assess the extent that a joint can be moved if the client is unable to do the motion independently.
oActive ROM
Patient able to move independently
Various musculoskeletal movements
oFlexion
oExtension
oAbduction
oAdduction
oPhalen’s test
oTinel’s sign
oMcMurray’s Test
oInversion
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