Fundamental test 3

A middle-aged male client suffered multiple lower leg injuries after being struck by a vehicle while cycling. The client has had external fixation applied to his left leg as part of his treatment regimen. What client education should the nurse provide to this man?

"Together, we'll work on ways to maximize your mobility while you have the device in place."

A 78-year-old woman who lives alone has been admitted to the hospital with a diagnosis of failure to thrive. Assessment reveals that the woman has malnutrition, a problem related to her lack of finances, transportation, and a social support network. Malnutrition is defined as:

A condition related to chronic lack of sufficient nutrients

A client has been receiving tube feeds for the past several days. The client's plan of care identifies the nursing diagnosis Risk for Fluid Imbalance. How should this risk be best mitigated?

Administer supplementary water after considering the quantity of feeds and flushes.

A client complains of loss of appetite following a prolonged illness. How should the nurse document the client's condition?

Anorexia

A nurse at a health care facility is assisting a client during a prescribed passive therapeutic exercise. Passive exercise is most suitable for which of the following clients?

Clients who are paralyzed from a stroke or spinal injury

A nurse is caring for a client with Alzheimer's disease. What action should the nurse perform when feeding a client with Alzheimer's disease?

Guide the hand with the food to the client's mouth.

A nurse is writing instructions on the discharge sheet of a client with a nasointestinal tube inserted for temporary feedings after discharge. Which of the following instruction should the nurse provide?

Guidelines for delaying a feed

A student nurse is helping at a support group for patients with cardiovascular disease. They are discussing the benefits of exercise. The student nurse knows that the members of the support group understand the long term benefits of exercise when they list the following:

Increased bone density Decreased Low Density Lipids Improved Sleep Reduced tension and depression

A client is being measured for crutches and asks the nurse why the crutches cannot rest up underneath the arm for extra support. The nurse responds knowing which would most likely result from improper crutch measurement?

Injury to the brachial plexus

A client with a severe muscle spasm in her lower back has been prescribed traction. Which of the following should the nurse confirm before helping to apply traction to the client?

Prescribed amount of weight

A nurse is assessing the home environment of an elderly client with limited mobility. What recommendation by the nurse would most likely increase the client's confidence in ambulation in the home environment?

Strategically placed handrails

A 22-year-old woman has begun using axillary crutches following open reduction and internal fixation of an ankle fracture that she suffered during a basketball game. What assessment finding by the nurse should suggest that the client's crutches are fitted correctly?

The client's wrist is slightly hyperextended when she stands upright and grasps her crutches.

A client has had a cylinder cast applied to her tibia after suffering a fracture during a soccer game. What is the primary purpose of a cast?

To immobilize injured bones to facilitate reunion

Vitamins are essential for proper nutrition as they promote normal growth, health maintenance, and facilitate proper body functioning. Which of the following are water soluble vitamins?

Vitamin B Complex Vitamin C

The right leg of a client who was involved in a motor vehicle accident needs to be amputated due to complications. When would a permanent prosthetic limb be constructed for this client?

When the stump size stabilizes

A nurse is providing liquid nourishment four to six times a day in feedings of less than 30 minutes duration to a client who is being tube-fed. Which of the following tube-feeding schedules is the nurse adhering to?

bolus

Which of the following ambulatory aids could a nurse suggest to assist a client who has weakness in one side of his body?

cane

A nurse is caring for a client who is obese. Which of the following is a risk associated with excessive abdominal fat about which the nurse should educate the client?

cardiovascular disease

full liquid diet?

clear liquids, liquid dairy products, all juice, custard

A nurse is caring for a client with complaints of nausea. Which of the following is a sign or symptom that often accompanies nausea?

dizziness and perspiration

A nurse is assisting a physician who is manipulating a client's fractured arm into its correct alignment. Which type of traction is being applied to the client?

manual traction

A nurse is caring for a client who has taken an overdose of ibuprofen. Which of the following tubes is most suitable for removing the toxic substances?

orogastric tube

A nurse has just received the order to place a nasogastric tub on a patient. Prior to placing the tube the nurse would ensure to assess all of the following except:

skin integrity of the abdomen.

A nurse is caring for a client who is recovering from a hip fracture and who is awaiting surgery. Which device will allow the bedridden client to maintain as much independence as possible?

trapeze