High School

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Prior to obtaining a trapeze bar for a client with limited mobility, which client assessment is most important for the nurse to obtain?

A. Upper body muscle strength
B. Balance and posture
C. Risk for disuse syndrome
D. Pressure sore risk

Answer :

Final answer:

The most important assessment before obtaining a trapeze bar for a client with limited mobility is evaluating their upper body muscle strength to ensure proper function and safety.

Explanation:

When determining the suitability of a trapeze bar for a client with limited mobility, the most important client assessment for the nurse to obtain is A. Upper body muscle strength. This assessment involves testing whether muscle tone is present and how well the patient can contract muscles against resistance. For example, the examiner may ask the patient to lift their arm while the examiner applies downward pressure. This test is crucial as it can reveal lateral differences in strength, indicating a deficit in one corticospinal tract versus the other. If there is an overall loss of strength without laterality, it may suggest a global issue with the motor system. Conditions such as cerebral palsy, multiple sclerosis (MS), or stroke could be contributing factors to such deficits and are commonly associated with upper motor neuron (UMN) lesions.

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