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A nurse is caring for a client who has been hospitalized and is performing active range-of-motion exercises. Which of the following body movements should indicate to the nurse that the client has full range of motion of the shoulder?

Abducting the arm to a 90-degree angle from the side of the body

Adducting the arm so that is lies next to the client's side

Flexing the shoulder by raising the arm from a side position to a 180-degree angle

Circumducting the shoulder in a 180-degree half circle

Answer and Explanation

The Correct Answer is C

A. Abducting the arm to a 90-degree angle from the side of the body

This is only partial abduction; full ROM involves more than 90 degrees.

B. Adducting the arm so that it lies next to the client's side

Adduction is part of the range, but not a complete indicator of full shoulder ROM.

C. Flexing the shoulder by raising the arm from a side position to a 180-degree angle

This demonstrates full shoulder flexion, from rest to above the head.

D. Circumducting the shoulder in a 180-degree half circle

Circumduction is a circular movement, but a 180° half-circle isn’t a full demonstration of the shoulder’s capacity.

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Correct Answer is B

Explanation

A. Take off the rubber tips of the crutches while using stairs.

Rubber tips provide traction and prevent slipping; they must remain in place.

B. Bring the good leg up first when going up stairs.

The mnemonic “Up with the good, down with the bad” applies here. The stronger leg goes up first for stability.

C. Move the good leg and the crutches together.

Crutches move with the affected (bad) leg, not the good one.

D. Rest the axillae on the axillary bar of the crutch.

This can compress nerves and blood vessels. Weight should rest on the hand grips, not underarms.

A. Lock the wheels on beds and wheelchairs during transfers. B. Place the bedside table within the client's reach. C. Keep the bed at a comfortable working height. D. Keep a night light on in the client's room and bathroom. E. Administer a sedative at bedtime.

Correct Answer is ["A","B","D"]

Explanation

A. Lock the wheels on beds and wheelchairs during transfers

Locking wheels prevents rolling, ensuring safety during movement.

B. Place the bedside table within the client's reach

Keeping frequently used items within reach reduces unnecessary movement and fall risk.

C. Keep the bed at a comfortable working height

The bed should be kept in the lowest position, not a working height, to reduce risk if the client tries to get up unassisted.

D. Keep a night light on in the client's room and bathroom

Adequate lighting prevents tripping and promotes safety during nighttime bathroom trips.

E. Administer a sedative at bedtime

Sedatives increase the risk of confusion, dizziness, and falls, especially in older adults.

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A nurse is caring for a client who has been hospitalized and is performing active range-of-motion exercises. Which of the following body movements should indicate to the nurse that the client has full range of motion of the shoulder?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is ["A","B","D"]

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