When teaching a client how to effectively manage their new medication regimen, the nurse recognizes that the best method of communicating therapeutically with the client is to:

Correct Answer: D

Rationale: The correct answer is D because facing the client while leaning slightly forward shows active listening and engagement, conveying respect and attentiveness. This posture encourages open communication and trust-building. Choice A is incorrect as the visitors' lounge may not provide privacy. Choice B may invade personal space and affect rapport. Choice C may not be appropriate as touch should only be used if culturally acceptable and with consent.

Correct Answer: C

Rationale: The correct answer is C because the popliteus muscle externally rotates the femur on the tibia during a closed chain movement, such as when the foot is fixed on the ground and the leg rotates. This action helps unlock the knee by initiating the screw-home mechanism, allowing for smooth knee extension. A: Incorrect because the popliteus muscle does not internally rotate the femur on the tibia during an open chain movement. B: Incorrect because the popliteus muscle does not externally rotate the tibia on the femur during an open chain movement. D: Incorrect because the popliteus muscle does not internally rotate the tibia on the femur during a closed chain movement.

Correct Answer: C

Rationale: To measure for leg length discrepancy accurately, you should measure from the Anterior Superior Iliac Spine (ASIS) to the Medial Malleolus. This is because the ASIS is a reliable and consistent bony landmark for measurement, and the medial malleolus is a stable reference point at the ankle joint. Measuring from ASIS to Medial Malleolus ensures that the entire length of the leg is accounted for, providing an accurate assessment of any potential length difference between the two legs. This measurement technique is commonly used in clinical practice and research studies to assess leg length inequality. Summary: A: Incorrect - Does not account for the full length of the leg. B: Incorrect - PSIS is not commonly used as a reference point for leg length measurement. C: Correct - ASIS to Medial Malleolus provides an accurate measurement of leg length discrepancy. D: Incorrect - PSIS is not commonly used for measuring leg length, and measuring

Correct Answer: D

Rationale: The correct answer is D: Stridor. Stridor is a monophasic, high-pitched sound typically heard during inspiration and caused by partial obstruction in the upper airway. It indicates a potentially serious condition affecting the airway, such as swelling or a foreign body obstruction. Wheezing (A) is a continuous, musical sound usually from lower airway obstruction. Ronchi (B) are low-pitched, coarse sounds from airway secretions. Crepitus (C) is a crackling sensation caused by air under the skin or tissues. In this case, Stridor is the most appropriate choice given the description of the sound and its association with upper airway obstruction.

Correct Answer: C

Rationale: The correct answer is C: Pursed-lip breathing. This technique involves inhaling slowly through the nose and exhaling through pursed lips, which helps to keep the airways open longer, improve oxygen exchange, and reduce the work of breathing. It also helps to prevent small airways from collapsing, making it easier for COPD patients to breathe. Choice A: Controlled cough may be helpful in clearing secretions but does not specifically address reducing dyspnea and work of breathing. Choice B: Huffing is a technique used for clearing secretions and may not be as effective in reducing dyspnea during an acute episode. Choice D: Breath holds can lead to increased carbon dioxide levels and might worsen symptoms in COPD patients.