A nurse is assisting a client with range-of-motion exercises of the shoulders. Which of the following terms should the nurse use when documenting the client raising his arm from his side to above his head?

Abduction

External rotation

Internal rotation

Adduction

Answer and Explanation

The Correct Answer is A

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.

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Correct Answer is ["A","B","C","E"]

Explanation

A. Venous thrombosis.

Immobility increases the risk of deep vein thrombosis (DVT) due to venous stasis in the lower extremities.

B. Pressure injury.

Prolonged immobility and pressure on bony prominences elevate the risk of skin breakdown and ulcers.

C. Foot drop.

Prolonged immobilization without proper foot support can cause plantar flexion contractures, known as foot drop.

D. Generalized edema.

While localized edema near the injury is expected, generalized edema is not typically associated with traction.

E. Constipation.

Decreased physical activity and possible pain medications (like opioids) contribute to constipation in immobilized patients.

A. Maybe B. Perhaps C. False D. True

Correct Answer is D

Explanation

D. True

Air-fluidized beds use tiny beads under a permeable sheet to reduce pressure and support patients at risk for pressure ulcers. Although the beads are ceramic or coated plastic, not metal, the core concept is accurate for most clinical purposes.

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A nurse is assisting a client with range-of-motion exercises of the shoulders. Which of the following terms should the nurse use when documenting the client raising his arm from his side to above his head?

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Naxlex Comprehensive Predictor Exams

A 46-year-old male was injured in an industrial accident and has suffered a fractured left leg and left wrist. His wrist is treated with a cast and the leg is placed in skeletal traction. Because of immobilization of his leg, the patient is at risk for (Select all that apply.)

Correct Answer is ["A","B","C","E"]

Explanation

Please indicate whether the following statement is true or false. Air fluidized beds use tiny metal beads that are contained within the bed under a flexible, air-permeable filter sheet.

Correct Answer is D

Explanation

The nurse, in order to prevent the cast from chafing, will instruct the patient for home care to _______ the rough edges with adhesive tape.

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