Chapter 32 Activity

Question 10 of 20 One of the most common injuries/risks associated with exercise in a healthy person is: increased work of breathing. chest pain. decreased joint mobility muscle injury. SUBMIT ANSWER

muscle injury

Question 8 of 20 When assisting a client from the bed into a wheelchair, the nurse assesses the client for signs of dizziness upon standing. For what adverse condition is the nurse assessing the client? deep vein thrombosis hypertension orthostatic hypotension circulatory alterations SUBMIT ANSWER

orthostatic hypotension

Question 18 of 20 The nurse is assessing a client who is bedridden. For which condition would the nurse consider this client to be at risk? predisposition to renal calculi increase in the movement of secretions in the respiratory tract increase in circulating fibrinolysin increased metabolic rate SUBMIT ANSWER

predisposition to renal calculi In a bedridden client, the kidneys and ureters are level, and urine remains in the renal pelvis for a longer period of time before gravity causes it to move into the ureters and bladder. Urinary stasis favors the growth of bacteria that, when present in sufficient quantities, may cause urinary tract infections. Poor perineal hygiene, incontinence, decreased fluid intake, or an indwelling urinary catheter can increase the risk for urinary tract infection in an immobile client. Immobility also predisposes the client to renal calculi, or kidney stones, which are a consequence of high levels of urinary calcium; urinary retention and incontinence resulting from decreased bladder muscle tone; the formation of alkaline urine, which facilitates growth of urinary bacteria; and decreased urine volume. The client would be at risk for decreased movement of secretion in the respiratory tract, due to lack of lung expansion. The client would suffer from decreased metabolic rate due to being bedridden. The client would not have an increase in circulating fibrinolysin

Question 17 of 20 The nurse uses gait belts when assisting patients to ambulate. Which patient would be a likely candidate for this assistive device? A patient who has an abdominal incision A patient with a thoracic incision A patient who has leg strength and can cooperate with the movement A patient who is confined to bedrest SUBMIT ANSWER

A patient who has leg strength and can cooperate with the movement

The nurse adjusts a client's bed to a comfortable working height in order to turn a patient. What would be the nurse's next action?

Move the client to edge of the bed opposite the side that client will be turning

Question 14 of 20 The nurse is assisting an older adult client with dementia in getting dressed after morning care. Which statement would be most beneficial to the client? "Put your arm in this sleeve." "Put your pants on and zip the zipper." "Don't put on your shoes yet." "Put on your shirt." SUBMIT ANSWER

Put your arm in this sleeve When communicating with a client with dementia, instructions should be given in clear, short sentences that offer simple, step-by-step instructions. "Put your arm in this sleeve" gives one step in the process of getting dressed. "Put on your shirt" involves many steps and should be broken down into the steps of putting on a shirt. "Put your pants on and zip the zipper" should be broken down into steps and given in clear, short sentences. Furthermore, putting on pants and zipping a zipper involves many steps and may be too complicated for the client with dementia to follow. Instructions should be phrased positively as the client may not register the "Don't"; the client may put the shoes on if the nurse states "Don't put on your shoes yet.

Question 4 of 20 The nurse is caring for a client who is on bed rest and was just turned to the left side. Which action should the nurse take next to decrease the risk of impaired skin integrity? Assess for pain. Pull the shoulder blade forward and out from under the client. Cover the client with the bed linens. Place the call bell within reach. SUBMIT ANSWER

Pull the shoulder blade forward and out from under the client

Question 7 of 20 The nurse is assisting a client from the bed into a wheelchair. What is a recommended guideline for this procedure? Make sure the bed brakes are unlocked. Place the bed in the highest position. Put the chair at the foot of the bed. Raise the head of the bed to a sitting position. SUBMIT ANSWER

Raise the head of the bed to a sitting position

Question 16 of 20 A nurse is assisting client from a bed to a wheelchair. Which nursing action is appropriate? The nurse grabs and holds the client by his arms. The nurse discourages the client from helping with the transfer. The nurse uses assistive devices when lifting more than 35 pounds of client weight. The nurse administers pain medication following the transfer. SUBMIT ANSWER

The nurse uses assistive devices when lifting more than 35 pounds of client weight

Question 1 of 20 A client with a hip fracture is returning to the orthopedic unit, and the orders indicate that the client should be turned by logrolling. Which statement is correct regarding logrolling? Use a drawsheet or a friction-reducing sheet to facilitate smooth movement. Logrolling will maintain straight alignment when the client is sitting in a chair. It is acceptable to twist the client's head, but not the hips, while logrolling. Logrolling can be performed by one experienced nurse

Use a drawsheet or a friction-reducing sheet to facilitate smooth movement

Question 11 of 20 The nurse is teaching a new graduate nurse about the most common causes of back injuries. The nurse knows that the new graduate understands the concepts of back injuries when she states that back injuries: can occur when repositioning uncooperative clients. are a routine consequence of the job. are related to sitting for long periods of time. can be prevented by using a gait belt. SUBMIT ANSWER

can occur when repositioning uncooperative clients Many nurses believe that back pain is a routine consequence of the job, but it need not be. Employing principles of body mechanics, use of algorithms, and guidelines for transferring or lifting clients contributes to the prevention of back injuries and pain. Back injuries can occur when repositioning uncooperative clients. Back injuries cannot be prevented by use of a gait belt. Inappropriate use of the gait belt and other factors can contribute to back injuries. Standing, not sitting, for long periods of times can contribute to back injuries

Question 9 of 20 What is a benefit of regular exercise over time? decreased heart rate increased risk for blood clots increased work of breathing decreased venous return SUBMIT ANSWER

decreased heart rate

Question 12 of 20 When moving a client up in bed with the assistance of another caregiver, the nurse should: have the client fold the arms across the chest. ask another nurse about the plan of care. elevate the head of the bed. maintain a pillow under the client's head. SUBMIT ANSWER

have the client fold the arms across the chest

Question 3 of 20 When logrolling a client, the nurse should use supportive devices in turning the client in order to: maintain the natural alignment of the client's body. maximize the client's participation. allow the client's leg to rest on the bed. prevent the blood stasis that can lead to skin breakdown. SUBMIT ANSWER

maintain the natural alignment of the client's body

Question 20 of 20 The nurse wishes to keep a client from sliding down towards the foot of the bed. Into which position will the nurse place the client? slight Trendelenburg Sims' prone supine SUBMIT ANSWER

slight Trendelenburg Placing a client in slight Trendelenburg position may help keep the client from sliding down toward the foot of the bed. Placement into the other position choices does not accomplish the same purpose.

Question 13 of 20 The nurse has been educating the client about how to use a walker safely. The nurse knows the education has been effective when the client: leans over the walker when walking. steps into the walker when walking. uses the sides of the walker to rise up out of a chair. places the walker far in front when walking. SUBMIT ANSWER

steps into the walker when walking

Question 6 of 20 The nurse is assisting a client with limited mobility to turn in bed. After successfully turning the client to the side, where would the nurse place an additional pillow? in front of the client's abdomen under the client's head under the client's feet supporting the client's back SUBMIT ANSWER

supporting the client's back

Question 19 of 20 A nurse is recommending aerobic exercise for a client who is overweight. Which exercise might the nurse suggest? Yoga Swimming Lifting weights Stretching exercises

swimming all rest are anaerobic

Question 15 of 20 When assessing the physical activity of clients, the nurse would be most concerned about which client? the older adult client who goes to the mall 3 times a week the middle-age computer programmer the Native American who hunts the young mother of a 2-year-old and 4-year-old SUBMIT ANSWER

the middle-age computer programmer

Question 2 of 20 A home care nurse visits a client with Parkinson's disease. The nurse observes that the client has rhythmic, repetitive movements of the hands. The home care nurse documents this as: dystonia tremor athetosis ataxia SUBMIT ANSWER

tremor