functional ability EAQ
The nurse is interviewing a client with a tentative diagnosis of Parkinson disease. Which description would the nurse give to the client about the onset of symptoms?
Gradually
Which element would the nurse focus on when teaching crutch-walking to a client who has a casted leg fracture?
Modifying the home environment to prevent accidents
Which nursing intervention prevents footdrop in a client with osteomyelitis?
Neutral positioning of the foot with the use of a splint
Which instrument is the nurse using in this image?
Goniometer
A 90-year-old resident fell and fractured the proximal end of the right femur. The surgeon plans to reduce the fracture with an internal fixation device. Which general fact about the older adult would the nurse consider when caring for this client?
Aging reduces the physiological coping defenses.
Which action would the nurse take for a newly admitted client with schizophrenia who refuses to remove dirty clothing?
Allow the client to undress when ready to help maintain identity.
The registered nurse (RN) is giving home care instructions to a client who was treated for injuries due to a fall. Which statement made by the client indicates a need for additional instruction?
"I should walk on soft scatter rugs at home."
Which muscle-strength rating would the nurse record for a client who can complete range of motion with some resistance?
4
Which activities can a child perform at 3 years of age? Select all that apply. One, some, or all responses may be correct.
Eating with a spoon without rotating it, Turning doorknobs, Holding crayons with fingers
A client is undergoing diagnostic testing for myasthenia gravis. Which test would the nurse identify as the most specific for this diagnosis?
Edrophonium chloride test
For optimum nutrition, which intervention would the nurse implement when determining a client, who sustained a cerebrovascular accident (also known as a "brain attack"), needs assistance with eating?
Encourage the client to participate in the feeding process.
During the neurological assessment of a client with a tentative diagnosis of Guillain-Barré syndrome, which clinical finding would the nurse expect the client to manifest?
Increased muscular weakness
Which type of rehabilitation is an essential component to a client's recovery from Guillain-Barré syndrome?
Physical therapy
To best address the functional and behavioral changes associated with a client's early Alzheimer disease, which action would the nurse encourage the daughter to do?
Post a schedule of the client's daily activities.
Which joint is an example of a condyloid joint?
Wrist joint
A health care provider prescribed a diagnostic workup for a client who may have myasthenia gravis. Which initial objective would the nurse establish with the client?
"The client will maintain present muscle strength."
Which range of heart rate is acceptable for a preschooler?
80 to 110
Which term describes synovial joint movement away from the midline of the body?
Abduction
Which ethnic group has a greater incidence of osteoporosis due to musculoskeletal differences?
Chinese Americans
Which finding in older adult clients is associated with aging?
Decrease in height
Which goal is the priority for a client with asthma who has a prescription for an inhaled bronchodilator?
Demonstrates use of a metered-dose inhaler
The nurse documents the range-of-motion exercises performed on a client who had a cerebrovascular accident (CVA). Which term would the nurse use to describe the client's hand portrayed in the provided image?
Extension
Which type of cast or splint will the nurse expect to see on a child with a fractured femur?
Hip spica
The nurse is performing an assessment of fine motor skills on an infant. Which actions would the nurse observe? Select all that apply. One, some, or all responses may be correct.
Holding a baby bottle, Holding a rattle, Picking up objects
When would the nurse expect the client who has rheumatoid arthritis to experience the most joint pain and stiffness?
In the morning on awakening
Which tissue connects the client's tibia to the femur at the knee joint?
Ligaments
Which bursae are between the client's elbow and the skin?
Olecranon
Which estrogen antagonist would the health care provider prescribe a client for the prevention and treatment of osteoporosis in postmenopausal women?
Raloxifene
Which happens during the transition from infanthood to toddlerhood?
Reduced need for sleep
Which goal would be priority for the child with autism spectrum disorder who has frequent episodes of self-biting and head-banging and needs help with feeding and toileting?
Remaining safe from self-inflicted injury
Which joint is an example of a gliding joint?
Sacroiliac
Which bones are examples of a client's flat bones? Select all that apply. One, some, or all responses may be correct.
Scapula, Sternum
Which term would the nurse use to document observing the characteristic gait associated with Parkinson disease?
Shuffling
Which function would the nurse consider in the plan of care when a client has dysphagia?
Swallowing
Which is the correct order of phases a client experiences in the event of a change in body image?
1. Shock 2. Withdrawal 3. Acknowledgement 4. Acceptance 5. Rehabilitation
Which organ is commonly affected in children with juvenile idiopathic arthritis (JIA)?
Eyes
Which client action would the nurse score as 3 on the muscle-strength scale?
Active movement against gravity only and not against resistance
Which type of joint permits movement in any direction?
Ball-and-socket
Which clinical manifestation would best indicate to the nurse that the mental status of a client with schizophrenia and paranoid delusions is improving?
Ability to function effectively in activities of daily living
Which structures protect a client's internal organs, support blood cell production, and store minerals?
Bones
Which phrase describes a greenstick fracture?
Incomplete with one side bent
Which type of joint is present in between the client's tarsal bones?
Gliding
For which purpose is a goniometer used?
To assess range of motion
Before client examination, the registered nurse provides education for a student nurse regarding the gross anatomy and physiology of the kidneys. Which statement made by the student nurse indicates the need for additional teaching?
"The right kidney is a little longer and narrower than the left kidney."
An 80-year-old client is admitted to the hospital with severe dehydration. The client's daughter asks the nurse how her mother could have become dehydrated. Which response by the nurse is correct?
"The thirst reflex diminishes with age, and the recognition of the need for fluid is decreased."
While providing care for a client with a second-degree left ankle sprain, the nurse raises the injured part above heart level. Which statement provides the reason behind this nursing intervention?
To prevent further edema
A client is likely to undergo reconstructive surgery for which purpose?
To restore function and/or appearance
Which physiological changes of the musculoskeletal system would the nurse associate with aging? Select all that apply. One, some, or all responses may be correct.
Increased bone prominence, Cartilage degeneration, Slowed movement
A client with hemiparesis voices a reluctance to use a cane. Which rationale would the nurse use to explain the cane's purpose to the client?
Maintain balance to improve stability
When teaching about aging, the nurse explains that older adults usually have which characteristic?
Slower reaction times
A recently hospitalized client with multiple sclerosis voices a concern about generalized weakness and fluctuating physical status. Which nursing intervention is the priority for this client?
Space activities throughout the day.
When a client injures the amphiarthrodial joint, which joint did the client injure?
Pelvic joint
A client newly diagnosed with myasthenia gravis voiced concerns about fluctuations in physical condition and generalized weakness. When providing care for this client, which nursing intervention would the nurse implement?
Preplan the spacing of activities throughout the day.
A client is diagnosed with Parkinson disease and receives a prescription for levodopa therapy. Which mechanism of action would the nurse identify for this medication?
Restores the dopamine levels in the brain
The nurse prepares to administer extended-release metformin to an older adult who has asked that it be crushed because it is difficult to swallow. Which rationale will prompt the nurse to ask the provider for a different form of metformin?
Extended-release formulations are designed to be released slowly and crushing the tablet will prevent this from occurring.
Which factor is used to assess the quality of health care provided to a client?
Functional health status of the client after discharge
A client with myasthenia gravis experiences generalized weakness. Which nursing intervention would the nurse integrate into the client's plan of care?
Provide the client frequent rest periods.
Which would the nurse document for a client with drooping of the eyelid over the pupil?
Ptosis
Which type of joint is present in the client's shoulders?
Spheroidal (ball&socket)
Which action would the nurse take for an older client with Alzheimer disease who has laid out several outfits on the bed to wear to a recreational session but is still wearing nightclothes?
Help the client select appropriate attire and offer to help the client get dressed.