The nurse is teaching a client how to do active range of motion (ROM) exercises.
To exercise the hinge joints, which action should the nurse instruct the client to perform?
Tap the feet forwards and backwards.
Bend the arm by flexing the ulna to the humerus.
Turn the head to the right and left.
Extend the arm at the side and rotate in circles.
The Correct Answer is B
To exercise the hinge joints, the nurse should instruct the client to bend the arm by flexing the ulna to the humerus.
Hinge joints allow for movement in one direction, like a door hinge. The elbow joint is an example of a hinge joint.
Choice A is not the answer because tapping the feet forwards and backwards exercises the ankle joint, which is not a hinge joint.
Choice C is not the answer because turning the head to the right and left exercises the pivot joint in the neck, which is not a hinge joint.
Choice D is not the answer because extending the arm at the side and rotating in circles exercises the ball-and-socket joint in the shoulder, which is not a hinge joint.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Hyperkalemia is a condition where there is an elevated level of potassium in the blood.
It can occur in patients with renal disease due to the kidneys’ reduced ability to excrete potassium.
Treatment-related side effects, such as certain medications or chemotherapy, can also contribute to hyperkalemia by altering potassium levels in the body1.
Hyperkalemia can lead to life-threatening cardiac conduction disturbances2.
Therefore, it is important for the nurse to determine the apical pulse rate and rhythm.
Choice A is not correct because comparing muscle strength bilaterally is not the most important intervention for a client with a serum potassium level of 7.5 mEq/L (7.5 mmol/L).
Choice C is not correct because measuring color and amount of urine is not the most important intervention for a client with a serum potassium level of 7.5 mEq/L (7.5 mmol/L).
Choice D is not correct because assessing strength of deep tendon reflexes is not the most important intervention for a client with a serum potassium level of 7.5 mEq/L (7.5 mmol/L).
Correct Answer is ["A","D","E"]
Explanation
- The descriptions that warrant additional follow-up by the nurse are choices A, D, and E.
- Solid with red streaks may indicate blood in the stool1.
- A tarry appearance may indicate bleeding in the upper digestive tract1.
- Multiple hard pellets may indicate constipation1.
Choice B is not an answer because brown liquid stool is not necessarily a cause for concern.
Choice C is not an answer because formed but soft stool is considered normal.
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