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A nurse is observing a patient in a skilled nursing facility using a walker. The nurse concludes that the walker is at proper height if the patient's elbows are bent to which angle while the patient is upright and grasping the handgrips?

5 to 15 degrees

45 to 60 degrees

15 to 30 degrees

30 to 45 degrees

Answer and Explanation

The Correct Answer is C

A. 5 to 15 degrees

This angle is too small, indicating the walker might be too tall, potentially causing shoulder strain.

B. 45 to 60 degrees

This angle is too large, suggesting the walker is too short, forcing the client to hunch over.

C. 15 to 30 degrees

The ideal elbow flexion when holding a walker is 15 to 30 degrees, allowing proper weight distribution and stability.

D. 30 to 45 degrees

This angle is higher than recommended and could result in improper posture and safety risks.

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Correct Answer is D

Explanation

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.

A. dry and dirty. B. moist and pink. C. moist and white D. dry and greenish.

Correct Answer is A

Explanation

A. Dry and dirty

Skin under a cast is typically dry, flaky, and appears dirty due to the accumulation of dead skin cells and lack of exposure to air and water.

B. Moist and pink

Moist and pink skin suggests healthy, well-hydrated tissue, which is not typical after cast removal.

C. Moist and white

Moist and white skin may indicate maceration, which can occur under wet dressings, not a dry cast.

D. Dry and greenish

Green discoloration is not a normal finding and may suggest infection, which is not expected under a dry cast unless there were complications.

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A nurse is observing a patient in a skilled nursing facility using a walker. The nurse concludes that the walker is at proper height if the patient's elbows are bent to which angle while the patient is upright and grasping the handgrips?

Nursing Test Bank

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