The nurse moves the patient's hand toward the inner aspect of the patient's forearm.
This range of motion exercise would be documented as what of the wrist?

Extension.

Abduction.

Flexion.

Adduction.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Extension refers to the straightening of a joint and is the opposite of flexion. It is not the correct term for the described hand movement.

Choice B rationale:

Abduction is the movement of a body part away from the midline of the body. It does not describe the specific movement of the patient's hand toward the inner aspect of the forearm.

Choice C rationale:

Flexion is the bending of a joint, decreasing the angle between two body parts. When the nurse moves the patient's hand toward the inner aspect of the forearm, it is a flexion movement of the wrist.

Choice D rationale:

Adduction is the movement of a body part toward the midline of the body. It is not the correct term for the described hand movement.

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Correct Answer is A

Explanation

Choice A rationale:

The correct technique for using an incentive spirometer involves placing the mouthpiece in the mouth and inhaling slowly and deeply through the mouthpiece. This helps the client to take deep breaths, expand their lungs, and improve lung function. By inhaling through the mouthpiece, the client maximizes the benefits of the incentive spirometer, preventing complications such as atelectasis and pneumonia.

Choice B rationale:

Setting an alarm to ring every hour at night is not relevant to using the incentive spirometer. The frequency of using the incentive spirometer should be determined based on the healthcare provider's recommendation and the client's condition. Using it too frequently or infrequently can both have negative consequences.

Choice C rationale:

Using the incentive spirometer only when shortness of breath occurs is not the correct approach. Incentive spirometry is a preventive measure used to maintain lung function and prevent respiratory complications, especially after surgery. Waiting until shortness of breath occurs might be too late to prevent complications effectively.

Choice D rationale:

Inhaling normally and then coughing forcefully into the mouthpiece of the device is not the correct technique for using an incentive spirometer. Coughing into the device can damage it and render it ineffective. Inhaling deeply and slowly through the mouthpiece is the correct method to encourage optimal lung expansion and prevent respiratory complications.

A. Provide non-slip footwear to patients during their stay. B. Keep the bed in high position to allow for ease of care. C. Institute a policy requiring a sitter for all patients above the age of 60. D. Avoid using a night light in the room to promote sleep.

Correct Answer is C

Explanation

Choice A rationale:

Providing non-slip footwear to patients during their stay is a good preventive measure, but it only addresses the risk of falls related to slippery floors. It does not address the overall fall risk, especially for elderly patients who may need constant supervision and assistance.

Choice B rationale:

Keeping the bed in a high position for ease of care might seem practical, but it increases the risk of falls when the patient attempts to get out of bed. Lowering the bed reduces the risk of injury if a fall occurs and is a more appropriate intervention.

Choice C rationale:

Instituting a policy requiring a sitter for all patients above the age of 60 is the best option among the choices provided. Elderly patients are at a higher risk of falls due to various factors such as weakened muscles, balance issues, and medication side effects. Having a dedicated sitter ensures constant supervision, timely assistance, and prompt intervention if the patient attempts to get out of bed, significantly reducing the risk of falls.

Choice D rationale:

Avoiding the use of a night light in the room to promote sleep is not a recommended intervention. While promoting sleep is essential for overall patient well-being, patient safety should always be the priority. Providing adequate lighting, especially at night, reduces the risk of falls and other accidents.

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The nurse moves the patient's hand toward the inner aspect of the patient's forearm.This range of motion exercise would be documented as what of the wrist?

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Explanation

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Correct Answer is C

Explanation

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The nurse moves the patient's hand toward the inner aspect of the patient's forearm.
This range of motion exercise would be documented as what of the wrist?