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What would the nurse record using a 0-5 scale in this situation?

What would the nurse record using a 0-5 scale in this situation?

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The nurse is assessing the muscle strength of a client. The client had complete range of motion against gravity with full resistance. 

Asked by Holmes, Last updated: Dec 21, 2024

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H. Martin

H. Martin

H. Martin
H. Martin, Content Writer, Charlotte

Answered Oct 11, 2018

5/5 Is the right answer.
The nurse will record 5/5 using a scale of 0 - 5 because the client has complete range of motion against gravity with full resistance.

2/5, 3/5 and 4/5 shows that the client has complete range of motion with gravity with low, fair and moderate resistance respectively. None of these 3 shows complete range of motion against gravity with full resistance.

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John Smith

John Smith

John Smith
John Smith

Answered Sep 08, 2016

5/5-muscle strength is rated on a 0-5 scale (no muscle contraction-normal muscle strength). a rating of 5/5 is considered normal muscle strength, meaning that the client has full range of motion against gravity with full resistance. 2/5 muscle strength is full range of motion without gravity (passive motion). a rating of 3/5 muscle strength is considered fair and means the client has full range of motion with gravity, but not against resistance. 4/5 muscle strength is documented if the client has full range of motion against gravity with moderate resistance.
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