A client grimaces while preforming range of motion of the left knee during an annual health assessment. Which movements should the nurse utilize to assess the client's ability to normally perform range of motion on the right knee?

Adduction, abduction and rotation.

Extension, flexion, and hyperextension.

Internal and external rotation.

Pronation and supination.

Answer and Explanation

The Correct Answer is B

A. Adduction, abduction, and rotation. These movements are more relevant to the hip joint. While rotation can apply to the knee, adduction and abduction do not. These are not the primary movements for assessing knee range of motion.

B. Extension, flexion, and hyperextension. These are the primary movements used to assess the range of motion in the knee joint. Extension and flexion measure the ability of the knee to straighten and bend, respectively. Hyperextension assesses the extent to which the knee can move beyond its normal straight position.

C. Internal and external rotation. While the knee does have some rotational capacity, these movements are limited and not typically used as primary measures of knee range of motion. They are more applicable to hip joint assessments.

D. Pronation and supination. These terms refer to movements of the forearm and wrist, not the knee. They describe the rotational movement of the forearm where the palm turns up (supination) or down (pronation).

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Correct Answer is A

Explanation

A. Takes an oral anticoagulant. Ecchymosis, or bruising, can be a side effect of anticoagulant therapy and may indicate potential bleeding issues that require further assessment.

B. Works in a day care centre. While exposure to children might increase the risk of minor injuries, it is less likely to be directly related to the ecchymosis observed.

C. Adheres to a gluten-free diet. This dietary preference is not likely to be directly related to the ecchymosis observed.

D. Recently had dental surgery. While recent surgery might be relevant, it is less likely to cause widespread ecchymosis unless there were complications.

A. Decreased height. B. Loss of appetite. C. Weight gain. D. Painful swallowing.

Correct Answer is A

Explanation

A. Decreased height: Osteoporosis often leads to vertebral fractures, especially in the upper (thoracic) spine. These fractures can cause pain, height loss, and a stooped or hunched posture (kyphosis).

B. Loss of appetite: While osteoporosis itself does not directly cause loss of appetite, it’s essential to assess overall health and nutritional status. However, this symptom is not directly related to kyphosis.

C. Weight gain: Weight gain is not typically associated with osteoporosis or kyphosis. It is less relevant in this context.

D. Painful swallowing: Painful swallowing is not directly related to osteoporosis or kyphosis. It is less relevant in this context.

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A client grimaces while preforming range of motion of the left knee during an annual health assessment. Which movements should the nurse utilize to assess the client's ability to normally perform range of motion on the right knee?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

Correct Answer is A

Explanation

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