A nurse is collecting data about a client's range of motion. Which of the following instructions should the nurse give to the client to observe hyperextension of the neck?
"Keep your head straight and turn it as far as possible to either side."
"Move your head from the upright position back as far as you can."
"Move your head so that your chin rests on your chest."
"Move your head laterally towards your right and left shoulder."
The Correct Answer is B
A. "Keep your head straight and turn it as far as possible to either side."
This is rotation, not hyperextension.
B. "Move your head from the upright position back as far as you can."
This describes hyperextension, which is the movement of the head beyond the neutral upright position.
C. "Move your head so that your chin rests on your chest."
This is flexion, not hyperextension.
D. "Move your head laterally towards your right and left shoulder."
This describes lateral flexion, not hyperextension.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Dry and dirty
Skin under a cast is typically dry, flaky, and appears dirty due to the accumulation of dead skin cells and lack of exposure to air and water.
B. Moist and pink
Moist and pink skin suggests healthy, well-hydrated tissue, which is not typical after cast removal.
C. Moist and white
Moist and white skin may indicate maceration, which can occur under wet dressings, not a dry cast.
D. Dry and greenish
Green discoloration is not a normal finding and may suggest infection, which is not expected under a dry cast unless there were complications.
Correct Answer is A
Explanation
A. False
The statement is false because all listed effects are known complications of prolonged immobilization.
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