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A nurse stands facing a client to demonstrate active range-of-motion exercises. Which of the following actions should the nurse take to demonstrate hyperextension of the hip?

Turn their foot and leg away from their other leg

Move their left forward and up

Move their leg medially toward their other leg

Move their leg behind their body

Answer and Explanation

The Correct Answer is D

A. Turn their foot and leg away from their other leg

This movement is called external rotation, not hyperextension.

B. Move their leg forward and up

This action is flexion of the hip.

C. Move their leg medially toward their other leg

This describes adduction, moving the limb toward the body's midline.

D. Move their leg behind their body

Hyperextension of the hip involves moving the leg backward beyond the normal range of extension.

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Correct Answer is C

Explanation

A. Respiratory alkalosis.

Respiratory alkalosis is caused by hyperventilation, not by immobility. Deep breathing won't target this issue.

B. Atelectasis.

While deep breathing can help prevent atelectasis (lung collapse), the primary concern in immobilized patients is hypostatic pneumonia.

C. Hypostatic pneumonia.

Deep breathing promotes lung expansion and mobilizes secretions, helping prevent hypostatic pneumonia, which results from stasis of secretions due to immobility.

D. Low oxygen saturation.

While deep breathing may improve oxygen saturation, the primary goal is to prevent atelectasis and pneumonia.

A. extend one leg and allow the client to slide down the leg to the floor. B. move both feet together when the client begins to fall C. wrap both arms around the client's arm and shoulders D. protect the client's extremities while lowering them to the floor.

Correct Answer is A

Explanation

A. Extend one leg and allow the client to slide down the leg to the floor.

It helps to control the fall, protects the client from injury, and allows the nurse to safely guide the client to the floor without using excessive force.

B. Move both feet together when the client begins to fall.

Keeping the feet together reduces stability and increases the risk of both the client and nurse falling.

C. Wrap both arms around the client's arm and shoulders.

This could cause injury to the client’s upper body and doesn't provide support for a safe fall.

D. Protect the client's extremities while lowering them to the floor.

While protecting extremities is important, the nurse’s primary action should be to use proper body mechanics (like extending one leg) to safely lower the client.

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A nurse stands facing a client to demonstrate active range-of-motion exercises. Which of the following actions should the nurse take to demonstrate hyperextension of the hip?

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