Question

question: 11 of 20
a nurse is preparing a client for ambulation. which of the following actions should the nurse take to determine the clients level of strength?

• ask the client how strong she feels today.
• ask the client to touch her finger to her nose.
• palpate the clients pedal pulses.
• ask the client to push her feet against the nurses palms.

Explanation:

Asking the client to push her feet against the nurse’s palms is a direct, objective way to assess muscle strength, which is critical for ambulation. The other options are subjective (asking how strong she feels) or assess coordination (touching finger to nose) or circulation (palpating pedal pulses), not strength.

Answer:

Ask the client to push her feet against the nurse's palms.