A nurse is assisting a client with range-of-motion exercises of the neck. Which of the following terms should the nurse use when documenting the client touching her chin to her chest?
Hyperextension
Lateral flexion
Rotation
Flexion
The Correct Answer is D
A. Hyperextension
Hyperextension refers to bending backward beyond the normal range.
B. Lateral flexion
Lateral flexion involves bending the neck to the side, ear toward shoulder.
C. Rotation
Rotation refers to turning the head side-to-side (e.g., shaking head “no”).
D. Flexion
Touching the chin to the chest is flexion of the neck-bending forward.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Abduction:
Abduction refers to movement of a limb away from the midline of the body, such as raising the arm from the side outward and upward.
B. External rotation:
This refers to rotating a limb outward along its axis, not raising the arm overhead.
C. Internal rotation:
This refers to rotating the limb inward, which is not the action of lifting the arm above the head.
D. Adduction:
Adduction refers to moving a limb toward the midline, the opposite of abduction.
Correct Answer is ["A","B","C"]
Explanation
A. Muscle atrophy
Lack of movement leads to wasting of muscle tissue over time, a common consequence of immobility.
B. Venous pooling
Immobility causes reduced venous return, leading to venous stasis or pooling, increasing the risk of DVT.
C. Urinary stasis
Lying flat for extended periods contributes to bladder emptying issues, increasing risk for UTIs and renal calculi.
D. Increased depth of respirations
Immobility leads to shallow breathing and reduced lung expansion, not deeper respirations.
E. Increased metabolic rate
Immobility generally results in a decreased metabolic rate due to lower energy needs.
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