When lying in the supine position, the patient's ankles should be flexed approximately 90 degrees so that the toes point toward the ceiling. This is referred to as

Lateral position

Dorsiflexion

Contracture

Plantar flexion

Answer and Explanation

The Correct Answer is B

A.   The lateral position refers to lying on one side with the top hip and knee flexed and the bottom hip and knee slightly flexed.
B.   Dorsiflexion is the movement of the ankle joint in which the toes are brought closer to the shin or upward, as in the supine position described.
C.   Contracture refers to the shortening or tightening of muscles, resulting in the inability to move the affected joint fully.
D.   Plantar flexion is the movement of the ankle joint in which the toes are pointed downward or away from the shin, opposite to the position described.

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Correct Answer is C

Explanation

C. Keep the client's personal items within reach.Keeping the client's personal items within reach can provide a sense of familiarity and comfort, which may reduce anxiety or disorientation, thereby decreasing the tendency to wander.

Incorrect options:

A. "Tell the family that someone should plan to stay with the client.": While family involvement is important, this suggestion may not always be feasible. Additionally, it’s the nurse’s role to ensure the safety of the client within the facility.

B. "Place the client in a quiet room at the end of the hallway.": Isolating the client may increase confusion and feelings of disorientation.

D. "Provide bright lighting in the client's room at night.": Bright lights at night can disrupt sleep and may cause further disorientation. Dim or soft lighting or use of night lights in the room is generally more appropriate to promote restful sleep.

A. Take 250 mg of a calcium supplement each day. B. Perform vigorous exercise at least 2 times per week. C. Perform moderate-intensity exercise for 150 min per week. D. Take 400 IU of vitamin D supplement each day.

Correct Answer is C

Explanation

A. While calcium supplementation is important for bone health, the recommended daily intake for adults at risk for osteoporosis is typically higher than 250 mg. The client may need a higher dose of calcium supplementation, along with other dietary sources of calcium.
B. While exercise is beneficial for bone health, vigorous exercise may not be suitable for all individuals, especially those at risk for osteoporosis who may have other health
concerns. Moderate-intensity exercise is generally recommended for bone health.

C. Performing moderate-intensity exercise for at least 150 minutes per week is

recommended for individuals at risk for osteoporosis. Weight-bearing and resistance exercises are particularly beneficial for improving bone density and strength.

D. Vitamin D supplementation is important for calcium absorption and bone health, but the recommended daily intake for adults at risk for osteoporosis is typically higher than 400 IU. Many healthcare providers recommend higher doses of vitamin D
supplementation, especially for individuals with low sun exposure or other risk factors for deficiency.

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When lying in the supine position, the patient's ankles should be flexed approximately 90 degrees so that the toes point toward the ceiling. This is referred to as

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