The nurse performs range of motion by moving the patient's leg toward the midline of the patient's body.
This movement would be documented as what of the hip?
Flexion.
Abduction.
Extension.
Adduction.
The Correct Answer is D
Choice D rationale:
Adduction is the movement of a body part toward the midline of the body. When the nurse moves the patient's leg toward the midline of the patient's body, it is an adduction movement of the hip joint. This movement involves bringing the leg back to the body's midline, which is the opposite of abduction, where the leg moves away from the midline.
Choice A rationale:
Flexion refers to the bending of a joint, decreasing the angle between two body parts. This is not the correct term for moving the leg toward the midline; it describes a different movement.
Choice B rationale:
Abduction is the movement of a body part away from the midline of the body. It is the opposite movement to adduction. When the leg moves away from the midline, it is in abduction, not adduction.
Choice C rationale:
Extension refers to the straightening of a joint, increasing the angle between two body parts. It is the opposite movement to flexion. This movement does not involve bringing the leg toward the midline.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Applying ankle restraints but leaving the wrists unrestrained is not a balanced approach. Restraints should only be used when necessary and should be applied correctly following the healthcare facility's policies and guidelines. Applying restraints to one part of the body while leaving another unrestrained can lead to injuries and is not a safe practice.
Choice B rationale:
Tying a double knot that is difficult to undo can be dangerous in emergency situations. Restraints should allow for quick release in case of emergencies, ensuring patient safety. Difficult-to-undo knots can delay the removal of restraints, leading to potential harm to the patient.
Choice C rationale:
Tying a slip knot to the side rails of the bed is unsafe and against restraint protocols. Slip knots can tighten when pulled, increasing the risk of injury to the patient. Restraints should be applied to designated areas and never tied to movable parts of the bed or other objects in the room.
Choice D rationale:
Checking on the patient frequently is the most appropriate action when a patient is in restraints. Regular monitoring ensures the patient's safety and well-being, assesses their comfort, and allows for prompt response to any signs of distress or discomfort. Frequent checks also help in preventing complications associated with immobilization, such as pressure ulcers and impaired circulation.
Correct Answer is A
Explanation
Choice A rationale:
This statement indicates effective teaching. Narrowing the base of support and improving balance are key aspects of using a cane properly. A patient who understands this concept demonstrates comprehension of the teaching.
Choice B rationale:
Placing the tip of the cane at least 12 inches to the side of the foot is incorrect. The cane should be placed about 6 inches to the side of the foot for proper support and balance.
Choice C rationale:
Adjusting the cane so the wrist is lower than the top of the cane is incorrect. The top of the cane should be at the level of the wrist for optimal use.
Choice D rationale:
Advancing the cane first, followed by the weak leg and then the strong leg, is incorrect. The correct sequence is advancing the cane and the weak leg simultaneously and then followed by the strong leg to maintain balance and support.
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