While assessing a client's musculoskeletal status, the nurse asks the client to perform lateral bends. Which of the following will this movement provide information about?

Range of motion

Diaphragmatic excursion

Spinous processes

Spinal deformities

Answer and Explanation

The Correct Answer is A

A) Range of motion: Lateral bending of the spine is a movement used to assess the range of motion (ROM) of the spine, specifically the flexibility and mobility of the thoracolumbar region. By asking the client to perform lateral bends, the nurse can evaluate the extent to which the client can bend sideways and assess any limitations or discomfort in the movement.
B) Diaphragmatic excursion: Diaphragmatic excursion refers to the movement of the diaphragm during respiration and is assessed through techniques like percussion and auscultation of the lungs. Lateral bending of the spine does not provide information about diaphragmatic movement.
C) Spinous processes: The spinous processes of the vertebrae can be palpated to assess alignment and tenderness, but lateral bending does not specifically assess the spinous processes. It focuses more on the overall mobility of the spine.
D) Spinal deformities: While lateral bending can reveal limitations in spinal movement that might suggest underlying spinal deformities, it is not a primary diagnostic tool for identifying specific deformities. Other assessments, such as inspection and palpation of the spine, X-rays, or physical

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Correct Answer is B

Explanation

A) Neither talk nor comprehend: This description does not accurately characterize receptive aphasia. Receptive aphasia, also known as Wernicke's aphasia, primarily affects comprehension, while speech production may remain intact. Patients with this condition may speak fluently but have difficulty understanding spoken or written language.
B) Talk but do not comprehend: Receptive aphasia is characterized by the ability to produce speech fluently but with impaired comprehension. Patients can talk and may produce coherent-sounding speech, but they struggle to understand others' speech and may not grasp the meaning of what they are saying.
C) No alteration in speech and language: Receptive aphasia involves specific alterations in speech and language, particularly in comprehension. While speech may be fluent, the content often lacks meaning or coherence, and comprehension is significantly impaired.
D) Comprehend but not able to talk: This description aligns more with expressive aphasia (Broca's aphasia), where patients have difficulty producing speech but generally retain comprehension abilities. Receptive aphasia affects comprehension while allowing relatively intact speech production.

A. Wear socks when walking around the home. B. Install grab bars in the bathtub. C. Secure rugs with adhesive tape. D. Use nightlights along stairways and walkways. E. Install handrails on both sides of all stairways.

Correct Answer is ["B","C","D","E"]

Explanation

A) Wear socks when walking around the home: Wearing socks, especially if they have smooth soles, can increase the risk of slipping on hard surfaces. Non-slip footwear is recommended for preventing falls. Therefore, recommending socks for walking may not address the safety concerns effectively.
B) Install grab bars in the bathtub: Installing grab bars in the bathtub is a crucial safety measure for preventing falls and providing support for older adults while bathing. This helps reduce the risk of slips and injuries in a common high-risk area for falls.
C) Secure rugs with adhesive tape: Securing rugs with adhesive tape helps prevent them from slipping, which can significantly reduce the risk of tripping and falling. Loose or unsecured rugs are common hazards in the home environment.
D) Use nightlights along stairways and walkways: Using nightlights along stairways and walkways improves visibility and helps prevent falls during the night. Adequate lighting is essential for older adults to navigate their homes safely.
E) Install handrails on both sides of all stairways: Installing handrails on both sides of stairways provides additional support and stability, which is particularly important for older adults to prevent falls while using stairs. This enhancement helps ensure safer navigation of stairs.

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While assessing a client's musculoskeletal status, the nurse asks the client to perform lateral bends. Which of the following will this movement provide information about?

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Correct Answer is B

Explanation

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