La madre del esposo de alma es su
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There is the translation from Spanish to English
<h3>El paciente tiene las manos __.</h3>
Answer: cerradas
El paciente tiene las manos cerradas.
Translation: The patient has his hands closed.
Explanation:
"Manos" is a feminine and plural noun, so its adjective must agree in gender and number with this noun. "Manos cerradas".