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 B

Explanation

The client is at risk for developing pulmonary embolism due to possible deep vein thrombosis. The rationale for this answer is based on the clinical findings noted in the nurse's notes. The presence of a reddened area on the client's calf, along with a difference in calf circumference between the left and right legs,suggests the possibility of deep vein thrombosis (DVT). DVT is a condition where a blood clot forms in a deep vein, typically in the legs. This can lead to a pulmonary embolism if a part of the clot breaks off and travels to the lungs, blocking blood flow. The client's recent long-duration car trip could have contributed to the development of DVT, as prolonged immobility is a known risk factor. The client's high fiber diet and adequate fluid intake are more likely to prevent constipation, and there is no indication of lead exposure, breath sounds issues, or atherosclerosis based on the information provided. Therefore, the most appropriate selections are 'pulmonary embolism' for the condition and 'possible deep vein thrombosis' for the client finding.

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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Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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