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 B

Explanation

A. hydrotherapy

Hydrotherapy involves water treatment, not related to smoothing cast edges.

B. petal

Petaling is the technique of applying smooth strips of tape (usually in a petal shape) over rough edges to prevent skin irritation.

C. bivalve

Bivalving is when a cast is cut into two halves, typically to relieve pressure—not to smooth edges.

D. splint

A splint is a temporary immobilizing device, not related to the care of cast edges.

A. Place the stockings on the client after the client ambulated to the restroom B. Ensure the client's toes are visible after placing the stockings on the client C. Measure the client's calf circumference and leg length from heel to knee. D. After applying the stockings, place two fingers between the client's leg and stocking to check the fit.

Correct Answer is C

Explanation

A. Place the stockings on the client after the client ambulated to the restroom.

Stockings should be applied before the client gets out of bed in the morning to prevent venous stasis and swelling.

B. Ensure the client's toes are visible after placing the stockings on the client.

Visible toes allow for monitoring of circulation, color, and temperature, which helps detect complications like restricted blood flow.

C. Measure the client's calf circumference and leg length from heel to knee.

Although the stocking should not constrict the toes, having them visible is not the primary indication of a proper fit. The focus is on ensuring proper compression around the calf and knee areas.

D. After applying the stockings, place two fingers between the client's leg and stocking to check the fit.

Unlike anti-embolism devices like TED hose, these stockings are meant to be snug to ensure adequate compression. The two-finger rule is more applicable to items like restraints, not compression stockings.

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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

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Correct Answer is B

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Correct Answer is C

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