A nurse is assisting a client with range-of-motion exercises of the hip. Which of the following terms should the nurse use when documenting the client moving one leg in the direction of her body's midline?

Hyperextension

Circumduction

internal rotation

Adduction

Answer and Explanation

The Correct Answer is D

A. Hyperextension: Hyperextension is movement of a joint beyond its normal range-away from the body’s midline, typically backward.
B. Circumduction: Circumduction refers to circular movement combining flexion, extension, abduction, and adduction.
C. Internal rotation: This refers to turning the limb inward around its axis, not toward the midline.
D. Adduction: Adduction is the movement of a body part toward the body’s midline, which is what is described here.

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Correct Answer is C

Explanation

A. Elevate the child's legs on a pillow: This is not appropriate during a seizure and can cause airway compromise.
B. Restrain the child's arms: Restraint can cause injury and does not stop the seizure.
C. Place the child in a side-lying position: This helps maintain an open airway, reduces aspiration risk, and allows secretions to drain.
D. Insert a padded tongue blade into the child's mouth: Never place anything in the mouth during a seizure due to risk of injury and airway obstruction.

A. Use safety pins to keep the pad in place. B. Set the pad's temperature to 42.2° C (108° F). C. Stop the treatment if the client's skin becomes red. D. Leave the pad in place for at least 40 min.

Correct Answer is C

Explanation

A. Use safety pins to keep the pad in place: Safety pins can puncture the pad, leading to leaks or burns.
B. Set the pad's temperature to 42.2° C (108° F): That is too hot. Safe temperatures for heat application are usually around 40–41°C (104–105.8°F).
C. Stop the treatment if the client's skin becomes red: Redness may indicate burning or tissue damage; the application must be discontinued immediately.
D. Leave the pad in place for at least 40 min: Heat therapy is usually applied for 20–30 minutes to avoid rebound vasoconstriction and tissue injury.

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A nurse is assisting a client with range-of-motion exercises of the hip. Which of the following terms should the nurse use when documenting the client moving one leg in the direction of her body's midline?

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