The nurse is evaluating the body alignment of a patient in the sitting position. In this position
a. The body weight is directly on the buttocks only.
b. Both feet are supported on the floor with ankles flexed.
c. The edge of the seat is in contact with the popliteal space.
d. The arms hang comfortably at the sides.
ANS: B
Both feet are supported on the floor, and the ankles are comfortably flexed. With patients of short stature, a footstool is used to ensure that the ankles are comfortably flexed. Body weight is evenly distributed on the buttocks and thighs. A 1- to 2-inch space is maintained between the edge of the seat and the popliteal space on the posterior surface of the knee to ensure that no pressure is placed on the popliteal artery or nerve. The patient's forearms are supported on the armrest, in the lap, or on a table in front of the chair.
You might also like to view...
Which of the following is a myth about pain in older adults?
a. Pain is a subjective experience for older adults b. Pain is a normal and universal symptom of aging c. Pain is often overlooked as a symptom of disease by older adults d. Untreated pain can result in behavior prob-lems
A student nurse has heard about something called the Nurse Licensure Compact. When the student asks a nurse educator, the nurse educator explains that the Nurse Licensure Compact is a:
a. plan for all nurses to need only one license with a large annual fee. b. project of the National Council of State Boards of Nursing. c. type of specialized organizational tool used in licensure and NCLEX exams. d. spinoff of EEOC legislation.
The nurse would use which of these terms to describe a patient who had unsatisfactorily fulfilled the developmental task for middle age?
a. Creative b. Outgoing c. Productive d. Self-focused
A patient informs the nurse that she often becomes nauseated when riding in motor vehicles. The nurse knows that this is related to which sensory deficit?
a. Neurological deficit b. Visual deficit c. Hearing deficit d. Balance deficit