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The nurse is evaluating the body alignment of a patient in the sitting position. Which observation by the nurse will indicate a normal finding?

A.

The arms hang comfortably at the sides.

B.

The edge of the seat is in contact with the popliteal space.

C.

Both feet are supported on the floor with ankles flexed.

D.

The body weight is directly on the buttocks only.

Answer and Explanation

The Correct Answer is A

A. This observation indicates proper body alignment as the arms hanging comfortably at the sides suggest relaxation and good posture.  

 

B. The edge of the seat should not be in contact with the popliteal space; there should be a small gap to prevent pressure and improve circulation.  

 

C. While the feet should be supported on the floor, they should be flat rather than flexed at the ankles for optimal alignment.  

 

D. The body weight should be distributed between the buttocks and thighs, not just on the buttocks, to promote comfort and good posture.


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View Related questions

Correct Answer is C

Explanation

A. Cultural values regarding cleanliness vary, so it is inaccurate to assume uniform standards.

B. Judging the patient as placing "little importance" on hygiene due to appearance can lead to biases and does not consider the patient’s routine.

C. Diabetes may necessitate changes in hygiene practices, especially regarding foot care, to prevent complications. Education on optimal hygiene practices is essential for health management in diabetic patients.

D. While personal preferences influence hygiene, they can be adapted with appropriate education and guidance when necessary for health reasons.

Correct Answer is C

Explanation

A. Competent nurses have typically worked in a specific area for 2-3 years, developing an understanding of patient care specific to that field.

B. Proficient nurses have advanced understanding and experience, allowing them to see care situations as whole parts rather than in separate steps.

C. In a new specialty area, the nurse is considered a novice, as they lack experience and expertise in obstetrics despite previous nursing experience.

D. Advanced beginners have some experience but still need support; however, this would apply only if the nurse had some previous obstetric experience.

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