The nurse is assisting a client with performing range-of-motion of the shoulder and the client asks the nurse to identify each movement performed. Which of the following movements should the nurse include? Select all that apply.
Rotation
Dorsiflexion
Eversion
Extension
Adduction
Correct Answer : A,D,E
A. Rotation: Rotation is a movement that involves turning a part of the body around its axis, which applies to shoulder movements.
B. Dorsiflexion: Dorsiflexion refers to the movement of the foot, not the shoulder, and is not applicable in this context.
C. Eversion: Eversion involves the movement of the foot and not the shoulder, so it does not apply here.
D. Extension: Extension refers to increasing the angle between body parts, such as straightening the arm or shoulder.
E. Adduction: Adduction involves moving a body part toward the midline, which is relevant to shoulder movements.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "DNR prevents resuscitation while AND allows for feeding tubes only." This is incorrect as the Allow Natural Death (AND) order does not specifically address feeding tubes; it focuses on allowing natural death without aggressive life-sustaining interventions.
B. "Both orders require healthcare professionals do everything possible to save the patient." This is incorrect because both DNR and AND orders are intended to prevent certain resuscitation efforts. The goal of both is to limit or avoid aggressive interventions, though AND is more focused on allowing natural death with comfort care.
C. "Both orders prevent resuscitation; however, AND is more perceived to be more helpful." Both DNR and AND orders prevent resuscitation efforts, but AND is often perceived as a more comprehensive approach to end-of-life care, focusing on comfort and allowing a natural death.
D. "DNR allows mechanical ventilation while AND prevents all resuscitation efforts." This is incorrect because a DNR order specifically addresses not performing CPR, but it does not necessarily prevent other forms of life support such as mechanical ventilation. AND is a broader term that generally aims to limit all forms of aggressive treatment, including mechanical ventilation.
Correct Answer is B
Explanation
A. The client who is recovering from a motor vehicle collision. This situation involves an acute stressor related to trauma, which is significant but not a developmental stressor.
B. The client that is recently divorced. Divorce is a significant life event that can contribute to developmental stress, especially if it involves major life changes and adjustment issues.
C. The client experiencing the symptoms of menopause. Menopause is a normal developmental phase, though it can be stressful. However, it is less likely to be classified as a significant risk factor compared to other life events.
D. The client newly diagnosed with lung cancer. A new cancer diagnosis is a major stressor and can contribute to significant emotional and psychological stress, but it is more of an acute stressor than a developmental one.
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