functional ability EAQ

Which estrogen antagonist would the health care provider prescribe a client for the prevention and treatment of osteoporosis in postmenopausal women?

Raloxifene

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."

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."

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."

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."

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 term describes synovial joint movement away from the midline of the body?

Abduction

Which muscle-strength rating would the nurse record for a client who can complete range of motion with some resistance?

4

Which range of heart rate is acceptable for a preschooler?

80 to 110

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 client action would the nurse score as 3 on the muscle-strength scale?

Active movement against gravity only and not against resistance

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.

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

Which structures protect a client's internal organs, support blood cell production, and store minerals?

Bones

Which type of joint permits movement in any direction?

Ball-and-socket

Which ethnic group has a greater incidence of osteoporosis due to musculoskeletal differences?

Chinese Americans

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 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

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.

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.

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 organ is commonly affected in children with juvenile idiopathic arthritis (JIA)?

Eyes

Which phrase describes a greenstick fracture?

Incomplete with one side bent

Which factor is used to assess the quality of health care provided to a client?

Functional health status of the client after discharge

Which type of joint is present in between the client's tarsal bones?

Gliding

Which instrument is the nurse using in this image?

Goniometer

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 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.

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

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

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 bursae are between the client's elbow and the skin?

Olecranon

When a client injures the amphiarthrodial joint, which joint did the client injure?

Pelvic joint

Which would the nurse document for a client with drooping of the eyelid over the pupil?

Ptosis

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.

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 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 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

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

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

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.

Which type of joint is present in the client's shoulders?

Spheroidal (ball&socket)

Which function would the nurse consider in the plan of care when a client has dysphagia?

Swallowing

For which purpose is a goniometer used?

To assess range of motion

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 joint is an example of a condyloid joint?

Wrist joint