The nurse is assisting a client with performing range-of-motion of the shoulder and the client asks the nurse to identify each movement performed. Which of the following movements should the nurse include? Select all that apply.

Rotation

Dorsiflexion

Eversion

Extension

Adduction

Answer and Explanation

Correct Answer : A,D,E

A. Rotation: Rotation is a movement that involves turning a part of the body around its axis, which applies to shoulder movements.

B. Dorsiflexion: Dorsiflexion refers to the movement of the foot, not the shoulder, and is not applicable in this context.

C. Eversion: Eversion involves the movement of the foot and not the shoulder, so it does not apply here.

D. Extension: Extension refers to increasing the angle between body parts, such as straightening the arm or shoulder.

E. Adduction: Adduction involves moving a body part toward the midline, which is relevant to shoulder movements.

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Correct Answer is C

Explanation

A. Small muscle twitching. Small muscle twitching is more common during REM sleep, not Stage IV NREM sleep.

B. An increase in temperature. Stage IV NREM sleep is associated with stable body temperature rather than an increase.

C. Difficult to arouse. Stage IV NREM sleep is known as deep sleep, and individuals are indeed difficult to arouse during this stage.

D. An increase in pulse rate. Stage IV NREM sleep typically features a stable or decreased pulse rate, not an increase.

A. Gait belt with handles B. Lateral-assist transfer board C. Powered stand-assist aid D. Powered full-body lift

Correct Answer is B

Explanation

A. Gait belt with handles: A gait belt can provide support and stability during transfers, but it is generally used for walking rather than transferring directly from bed to chair.

B. Lateral-assist transfer board: A lateral-assist transfer board can help with moving the patient from bed to chair by sliding, making it appropriate for this transfer scenario.

C. Powered stand-assist aid: A powered stand-assist aid is typically used to help patients who need assistance standing and could be appropriate if the patient requires more support during the transfer.

D. Powered full-body lift: A powered full-body lift is generally used for patients who cannot bear weight at all and would not be necessary for a patient who can bear weight on one leg and use a walker.

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The nurse is assisting a client with performing range-of-motion of the shoulder and the client asks the nurse to identify each movement performed. Which of the following movements should the nurse include? Select all that apply.

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Naxlex Comprehensive Predictor Exams

The nurse is assessing the vital signs of a sleeping patient at 0400 a.m. and notes the patient is experiencing stage IV non-rapid eye movement (NREM) sleep. The nurse should expect which of the following findings?

Correct Answer is C

Explanation

The nurse is preparing to transfer a patient from the bed to a chair next to the bed. The patient has full weight bearing on the right leg and partial weight bearing on the left leg. They use a walker when ambulating. Which of the following assistive devices would be appropriate for the transfer?

Correct Answer is B

Explanation

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