While assisting the client with a bath, the nurse encourages full ...

[jon_i]

While assisting the client with a bath, the nurse encourages full range of motion in all the client's joints. Which activity would best support range of motion in the hand and arm?
 
  1. Give the client a washcloth to wash the face.
  2. Move the wash basin farther toward the foot of the bed so the client must reach for it.
  3. Have the client brush the hair and teeth.
  4. Move each of the client's hand and arm joints through passive range of motion.

Question 2

The nurse is caring for a client experiencing dyspnea. In which position should the nurse place this client?
 
  1. High Fowler's position with two pillows behind the head
  2. Orthopneic position across the overbed table
  3. Prone position with knees flexed and arms extended
  4. Sims position with both legs flexed

[iman]

Answer to Question 1

Correct Answer: 3
Rationale 1: This activity does not utilize all of the major joints in the hands and arms.
Rationale 2: The wash basin should be close to the client to prevent overreaching and possible falls.
Rationale 3: Brushing the hair and teeth includes more of the joints of the hands and the arms than does washing the face.
Rationale 4: Passive range of motion is a second best choice after normal use of the joints.

Answer to Question 2

Correct Answer: 2
Rationale 1: The high Fowler's position should not be used with more than one pillow or with overly large pillows.
Rationale 2: The orthopneic position across the overbed table facilitates respiration by allowing maximum chest expansion.
Rationale 3: The prone position places the client on the abdomen and makes chest expansion difficult.
Rationale 4: The Sims position is a side-lying position and does not support full chest expansion as much as the orthopneic position.

[jon_i]

TYSM

[Joy Chen]

Thanks for the timely response, appreciate it