Fundamentals Chapter 24 Fitness&Therapeutic (Prep U)
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 client is scheduled for a walk-a-mile test. When the client asks 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 community health nurse is teaching a 42-year-old sedentary client about activity monitoring with a self-monitoring motion-sensing device. The nurse will recommend that the client set an initial daily goal for how many steps?
6,000
The nurse is teaching a client about moving joints into positions of abduction and adduction. Which client action reflects that teaching has been effective?
moves the legs away from the midline and then toward the midline
A client has been prescribed exercise at the metabolic energy equivalent (MET) of 5. Which exercise type will the nurse recommend?
slow swimming
The nurse is calculating the maximum heart rate for a 38-year-old client. Which accurately reflects the client's maximum heart rate?
182 beats per minute
A nurse is assessing the fitness level of a 30-year-old client. What is this client's target heart rate?
190
A nurse wearing a Fitbit averages taking 14,000 steps daily when working a 12-hour shift, 3 days weekly. During a physical assessment, how will this nurse describe this activity level to the employee health nurse?
highly active
A client at a community health center is discussing a planned exercise program. The client is being treated for cardiovascular disease. What would the nurse recommend?
"See your doctor and have a checkup first."
The nurse is teaching a client about an ambulatory electrocardiogram. Which client statement requires further nursing teaching?
"I can sleep with an electric blanket to stay warm."
The nurse is assisting with passive range-of-motion exercises. The nurse supports the client's head and neck and turns the head in a circular direction. The nurse is performing:
circumduction.
The nurse is providing care for a client who is recovering in the hospital from a traumatic brain injury. How can the nurse best prevent the development of disuse syndrome and ankylosis?
Assist the client with passive range of motion of joints that the client is unable to move.
When teaching range-of-motion exercises to a caregiver, a nurse moves the arm of the client laterally to an upright position above the head and then returns it to the original position. What term is used to describe this body movement?
abduction
When explaining the benefits of isotonic exercises to promote cardiorespiratory conditioning and increase lean muscle mass, which exercise should the nurse tell the client to perform?
aerobic exercise
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? Select all that apply.
increased cardiopulmonary function increased lean mass regularity of bowel elimination
A client has begun exercising four times each week. Which of the following is a cardiovascular response to regular exercise?
increased efficiency of the heart
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? Select all that apply.
Avoid using magnets during the test. Avoid taking a shower while the device is in place. Avoid using an electric blanket while the device is in place.
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 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.
A nurse is providing range-of-motion exercises for an immobilized client. Which action accurately describes a recommended guideline when using this skill? Select all that apply.
While performing the exercises, begin at the head and move down one side of the body at a time. Encourage the client to do as many of these exercises by himself as possible. Lower the side rail and uncover only the limb to be used during the exercise
A nurse is preparing to teach a community group about fitness exercise and how the activities and exercises affect a person's energy and oxygen consumption. The nurse is planning to address the activities listed. Place the activities in the order that the nurse would describe them from the least to greatest consumption of energy and oxygen.
bowling raking leaves square dancing playing basketball cross-country skiing
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
A nurse is performing range-of-motion exercises on a client's ankle and foot. Which movements would the nurse include? Select all that apply.
eversion dorsiflexion extension
What action is the nurse performing in the accompanying photo?
flexion
A nurse performing range-of-motion exercises on a client confined to bed moves the client's chin down onto the chest and then back to an upright position. The nurse then tilts the head as far as possible to each shoulder. What therapeutic movement is the nurse achieving with this exercise? Select all that apply.
flexion extension
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
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
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 home care nurse is assessing a client's vital signs at rest. Which finding requires nursing intervention?
temperature 100.0º F (37.78º C)
The nurse is teaching a client about moving joints into positions of pronation and supination. Which client action reflects that teaching has been effective?
turns the arms downward and then upward
A nurse is teaching a client about ROM exercises. How many times should the client exercise each joint during the exercise period?
two to five
The nurse is assisting with range-of-motion exercises for a client who is on bed rest following surgery. How often would the nurse perform each range-of-motion exercise?
two to five times
An older adult is beginning an exercise program and asks the nurse about the appropriate drink for fluid replacement. What would the nurse advise?
water
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 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 that the client set a daily goal for how many steps?
10,000
An orthopedic client is instructed to tighten the gluteal muscles and relax. This is an example of an:
isometric exercise.
A nurse is providing care to a client who has a cast on his leg. While educating the client on how to perform quadriceps setting exercises to strengthen the quadriceps muscle, he asks, "What kind of exercise is this?" The nurse identifies this type of exercise as:
isometric.
A nurse is assessing the muscles of an older adult. What will be assessed?
mass, tone, strength
A nurse is assisting a client with ROM exercises that involve turning a client's body part from side to side as in an arc. What type of movement is this?
rotation
A nurse is supervising a client who is exercising. The client is performing isometric exercises. The nurse teaches the client that isometric exercise preserves:
muscle mass.
The nurse recognizes the value of passive range-of-motion exercises in the care of clients who have been confined to bed for extended periods. The nurse should use particular caution if performing these exercises with:
nonresponsive clients.
A client has been prescribed exercise at the metabolic energy equivalent (MET) of 3. Which exercise type will the nurse recommend?
raking leaves
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
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
The nurse is calculating the maximum heart rate for a 78-year-old client. Which accurately reflects the client's maximum heart rate?
142 beats per minute
A client is scheduled for range-of-motion exercises. When the nurse arrives, the client reports that his knee is hurting. Which nursing action is correct?
Avoid doing range-of-motion exercises on the knee.
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.
Two nurses are striving to increase their activity by wearing a self-monitoring motion-sensing device. How many steps will the nurses strive for on a daily basis?
10,000
What will the nurse calculate as the appropriate target heart rate for a 50-year-old client when using 60% of the maximum heart rate as the factor?
102 beats per minute
A nurse uses a continuous passive motion (CPM) machine for a client who has undergone knee-replacement surgery. What does the continuous passive motion machine do? Select all that apply.
controls the degree of joint movement prevents pooling of venous blood accelerates wound healing
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 twice a day, each exercise two to five times.
The nurse is teaching a client how to perform range-of-motion exercises on the toes. What motions would be accomplished by curling the toes downward, spreading the toes apart, and then bringing them together?
flexion, extension, abduction, and adduction
The nurse is helping a client with musculoskeletal alterations to perform range-of-motion exercises. In what order would the nurse perform the exercises for the client?
from the head and down one side of the body at a time
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 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
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?
decreased pulse and blood pressure
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.
The nurse is teaching a 68-year-old client who has had a stroke how to strengthen weakened muscles. Which exercise type will the nurse teach?
isokinetic
The nurse is teaching a healthy 29-year-old client who wishes to increase muscle mass and strength while toning and defining muscle groups. Which type of exercise will the nurse recommend?
isometric
The nurse is teaching a healthy 40-year-old client whose goals are to increase muscle mass and strength while toning and defining muscle groups. Which type of exercise will the nurse recommend?
isometric
A middle-aged man walks 2 miles each day. What type of exercise is he getting with this activity?
isotonic
