A nurse is assisting a client with range-of-motion exercises of the neck. Which of the following terms should the nurse use when documenting the client touching her chin to her chest?
Hyperextension
Lateral flexion
Rotation
Flexion
The Correct Answer is D
A. Hyperextension
Hyperextension refers to bending backward beyond the normal range.
B. Lateral flexion
Lateral flexion involves bending the neck to the side, ear toward shoulder.
C. Rotation
Rotation refers to turning the head side-to-side (e.g., shaking head “no”).
D. Flexion
Touching the chin to the chest is flexion of the neck-bending forward.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
A. Loss of calcium from bone matrix
Immobility causes bone demineralization, increasing the risk for osteoporosis and fractures.
B. Stasis of respiratory secretions
Lack of movement decreases chest expansion, leading to retained secretions and risk of pneumonia or atelectasis.
C. Increased cardiac workload
Immobilization leads to venous stasis and reduced venous return, increasing cardiac workload and risk of thromboembolism.
D. Decreased circulation from pressure
Prolonged pressure leads to reduced perfusion, increasing risk for pressure ulcers.
E. Increased mental activity
Immobilization often results in decreased mental stimulation, potentially leading to depression or confusion, especially in older adults.
Correct Answer is C
Explanation
A. 5 to 15 degrees
This angle is too small, indicating the walker might be too tall, potentially causing shoulder strain.
B. 45 to 60 degrees
This angle is too large, suggesting the walker is too short, forcing the client to hunch over.
C. 15 to 30 degrees
The ideal elbow flexion when holding a walker is 15 to 30 degrees, allowing proper weight distribution and stability.
D. 30 to 45 degrees
This angle is higher than recommended and could result in improper posture and safety risks.
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