Ch. 24 - Fitness and Therapeutic Exercise
A 77-year-old client has been admitted to the neurological unit after experiencing an ischemic stroke. In addition to difficulty swallowing and some cognitive deficits, the client has motor and sensory deficits to the left side. When planning care, the nurse should prioritize which potential nursing diagnoses related to mobility?
risk for unilateral neglect
A client is supposed to build up to exercise of moderate intensity. What activities would the nurse recommend to meet this criterion?
slow swimming
A nurse is teaching a client about ROM exercises. How many times should the client exercise each joint during the exercise period?
2-5
A student at a school will participate in a walk-a-mile test. When the client asks the school nurse how long the average person takes to walk 1 to 2 miles at a brisk pace, what is the appropriate nursing response?
30 minutes
A nurse is performing range-of-motion (ROM) exercises for a comatose client. The nurse bends the client's arm to decrease the angle between two adjoining bones and then straightens it to increase the angle between two adjoining bones up to 180 degrees. Which joint motions are involved in this type of movement?
flexion and extension
An adult client has been scheduled for a stress electrocardiogram as part of a larger diagnostic workup. How should the nurse best describe this test to the client?
"The electrical activity of your heart will be measured while you perform exercise."
A client has chronic obstructive pulmonary disease (COPD) and is unable to perform basic self-care activities or activities of daily living (ADLs). What would be an appropriate nursing diagnosis?
activity intolerance
A client with asthma tries to jog a mile but cannot finish and reports fatigue. An appropriate nursing diagnosis would be:
activity intolerance related to fatigue
A nurse is educating an obese, middle-aged client regarding the benefits of exercise. What should the nurse tell the client are the significant benefits of regular physical exercise? (3)
increased cardiopulmonary function increased lean mass regularity of bowel elimination
A client has begun exercising 4 times each week. Which of the following is a cardiovascular response to regular exercise?
increased efficiency of the heart
A nurse is caring for an inactive client and assisting the client in performing range-of-motion (ROM) exercises. What care should the nurse take when performing range-of-motion exercises?
move each joint until there is resistance but no pain
The nurse is teaching a client about moving joints into a position of abduction and adduction. Which client action reflects that teaching has been effective?
moves leg away from the midline, then toward the midline
The community nurse working at a community health fair is assessing a client's vital signs at rest. Which finding requires nursing intervention?
respirations 28 per minute
A community health nurse is teaching a workshop on exercise during a health fair that is being sponsored by a local community center. A participant has asked the nurse about a reasonable and healthy goal for the heart rate while a person exercises. The nurse has responded by explaining the relationship between maximum heart rate and target heart rate. How should an individual's maximum heart rate be calculated?
subtract the individual's age from 220
To assess a potential injury to a client's wrist, the nurse asks the client to turn the hand and forearm upward. This movement is referred to as:
supination
The nurse performs passive range of motion for a client by turning each palm upward, and then downward. How will the nurse document this motion?
supination and pronation
A nurse is working with a female client with osteoporosis on an exercise program. The nurse instructs the client to increase her tolerance gradually. The nurse determines that the education was effective when the client states:
"If I experience pain when I'm exercising, I should stop."
A community health nurse is teaching a 22-year-old healthy client about activity monitoring with a self-monitoring motion sensing device. The nurse will recommend the client set a daily goal for how many steps?
10,000
A nurse is performing range-of-motion exercises for a client and moves the client's fingers apart and then back together. The nurse is performing which range of motion?
Adduction/abduction
A nurse is caring for a client who has been recommended an ambulatory electrocardiogram for recording the heart rate and rhythm. What instructions should the nurse provide the client with regarding the use of the Holter monitor? (3)
Avoid using magnets during the test. Avoid using an electrical blanket while the device is in place. Avoid taking a shower while the device is in place.
A nurse is following a plan of care for passive range-of-motion (ROM) exercises. What specifics will be included on the plan?
Do ROM exercises two times a day, each exercise two to five times. Explanation: Do not move joints to the point of pain. Passive ROM exercises should be done twice a day, with each exercise carried out two to five times.
The nurse teaches an unlicensed assistive personnel (UAP) to perform passive range of motion exercises for a client, using circumduction. How will the nurse teach the UAP to move the joint?
form a circle
When the client restricts use of her dominant arm because of pain and the nurse notes that the measurement of the circumference of the client's nondominant arm is greater than her dominant arm, the nurse determines that the lack of use has resulted in the dominant arm's:
atrophy
A nurse is assisting a female client during a Walk-a-Mile test. The client's score is 15 minutes and 20 seconds. How would the nurse document the client's performance?
average
The nurse is measuring the amount of body tissue that is lean versus the amount that is fat. How will the nurse document this assessment finding?
body composition
What body system benefits the most from aerobic exercises?
cardiovascular
A nurse is assessing the vital signs of a client who has exercised regularly for several years. What vital sign findings would be expected?
decreases pulse and blood pressure
A client has been prescribed exercise at the metabolic energy equivalent (MET) of 1. Which exercise type will the nurse recommend?
dressing self
A nurse at a long-term care home has organized a program that is aimed at increasing residents' levels of physical activity. The nurse is aware of precautions that must be taken when promoting exercise among older adults. The nurse should teach participants to:
ensure that they drink water in order to stay hydrated
A nurse teaches a student nurse the importance of ambulating clients to prevent the effects of immobility on body systems. What is one of these effects?
impaired circulation