The nurse is assisting a client who is having a Thomas test performed. When the client's left knee is brought to the chest, the nurse recognizes a hip flexion contracture is present when:
A)
the right leg externally rotates.
B)
the right leg rises off the bed.
C)
the client complains of sharp pain radiating down the left leg.
D)
the client complains of pain in the lumbar spine.
B
Explanation:
A)
When the left leg is brought to the chest, the right leg should be kept straight. When the leg rises off the bed, a hip flexion contracture is indicated. Pain may be present, but would not support diagnosis of the contracture.
Comprehension
Assessment
Physiological Integrity: Physiological Adaptation
B)
When the left leg is brought to the chest, the right leg should be kept straight. When the leg rises off the bed, a hip flexion contracture is indicated. Pain may be present, but would not support diagnosis of the contracture.
Comprehension
Assessment
Physiological Integrity: Physiological Adaptation
C)
When the left leg is brought to the chest, the right leg should be kept straight. When the leg rises off the bed, a hip flexion contracture is indicated. Pain may be present, but would not support diagnosis of the contracture.
Comprehension
Assessment
Physiological Integrity: Physiological Adaptation
D)
When the left leg is brought to the chest, the right leg should be kept straight. When the leg rises off the bed, a hip flexion contracture is indicated. Pain may be present, but would not support diagnosis of the contracture.
Comprehension
Assessment
Physiological Integrity: Physiological Adaptation
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