To enhance muscle relaxation prior to an abdominal examination the nurse would
Place a small pillow under the knees.
Ensure adequate lighting.
Expose the chest and abdomen for examination.
Place the patient on their left side.
The Correct Answer is A
A. Placing a pillow under the knees helps to relax the abdominal muscles and reduces tension during the abdominal examination.
B. Ensure adequate lighting - While good lighting is necessary for a thorough exam, it doesn't directly enhance muscle relaxation.
C. Expose the chest and abdomen for examination - Exposing the chest and abdomen is necessary for an abdominal exam but does not specifically aid in muscle relaxation.
D. Place the patient on their left side - This position is typically used for certain types of exams or procedures but does not specifically enhance muscle relaxation for an abdominal assessment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A score of 24 would indicate a fully alert and responsive patient. The Glasgow Coma Scale ranges from 3 (deep coma) to 15 (fully awake).
B. A score of 12 indicates a moderate level of consciousness, not a coma.
C. A score of 15 indicates that the patient is fully conscious and alert.
D. A score of 6 indicates a coma and represents a very low level of consciousness, with minimal responses to stimuli.
Correct Answer is D
Explanation
A. This is a normal finding in gait, as the feet should typically remain parallel while walking.
B. Heels strike the ground before the toes. This is a normal gait pattern, especially in elderly individuals, where a heel-to-toe walk is common.
C. Reses each foot off the floor with each step. This is a normal finding, as the person should lift their foot off the ground while walking.
D. Right arm and leg move forward together. This is an abnormal finding, indicating a possible neurological issue such as hemiparesis or other gait disturbance, which warrants further evaluation.
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