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NEUROLOGICAL DISORDERS NURSING QUESTION AND ANSWER

Neurological Disorders (Adult) Nursing Question and Answer Published by www.nursingwork.in

Which of the following should the nurse assess to provide the most accurate information regarding a client suspected of having a C4 injury?
A. Ask the client to grasp an object and make a fist
B. Ask the client to straighten the flexed arms while applying resistance
C. Ask the client to shrug the shoulders while applying downward pressure
D. Ask the client to lift the arms while applying resistance
Answer: C. Ask the client to shrug the shoulders while applying downward pressure

Asking a client to shrug the shoulders while applying resistance will provide the most accurate information in a client suspected of a C4 injury. Asking a client to straighten the flexed arms while applying resistance would assess for a C7 injury. Asking the client to grasp an object and make a fist would assess for a C8 injury. Asking the client to lift the arms while applying resistance would assess for a C5 injury.
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