The nurse is assisting a client who is having a Thomas test performed. When the client's left knee is brought to his chest, the nurse recognizes that a hip flexion contracture is present when:
1. the client complains of pain in his lumbar spine.
2. the client complains of sharp pain radiating down his left leg.
3. the client's right leg externally rotates.
4. the client's right leg rises off the bed.
Answer: 4
1. Pain might be present but would not support diagnosis of the contracture.
2. Pain might be present but would not support diagnosis of the contracture.
3. External rotation is not associated with hip flexion.
4. 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.
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