NUR 221A: Functional Ability

A client with hemiparesis is reluctant to use a cane. How does the nurse explain the cane's purpose to the client? 1. maintain balance to improve stability 2. relieve pressure on weight-bearing joints 3. prevent further injury to weakened muscles 4. aid in controlling involuntary muscle movements

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A nurse is providing postoperative teaching to a client who is scheduled to have an above-the-knee amputation. The client will use crutches during the postoperative period. Which activity will prepare the client for crutch walking? 1. lifting weights 2. changing bed positions 3. caring for the residual limb 4. performing phantom limb exercises

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Which skill does the nurse explain to the parent is normally exhibited by a preschooler? 1. copying squares 2. running with difficulty 3. difficulty in walking stairs 4. jumping and hopping with ease

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A client with a parotid tumor and enlarged lymph nodes in the neck is undergoing radiation therapy on an outpatient basis. Which condition will the nurse most closely assess the client for during the return visit to the radiology department? 1. ataxia 2. hypoxia 3. arthralgia 4. dysphagia

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A nurse may find that for optimum nutrition a client with a cerebrovascular accident (also known as "brain attack") needs assistance with eating. What should the nurse do? 1. request that the client's food be pureed 2. feed the client to converse the client's energy 3. have a family member assist the client with each meal 4. encourage the client to participate in the feeding process

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According to the common scale for grading muscle strength, what rating will be given to a client who can complete range of motion with some resistance? 1. 1 2. 2 3. 3 4. 4

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A healthcare provider prescribes a diagnostic workup for a client who may have myasthenia gravis. What is the initial nursing objective for the client during the diagnostic phase? 1. "the client will adhere to the teaching plan" 2. "the client will achieve psychologic adjustment" 3. "the client will maintain present muscle strength" 4. "the client will prepare for a possible myasthenic crisis"

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A client is diagnosed with myasthenia gravis. Which response does the nurse expect the client to demonstrate? 1. partial improvement of muscle strength with mild exercise 2. fluctuating weakness of muscles innervated by the cranial nerves 3. little or no change of muscle strength regardless of therapy initiated 4. dramatic worsening of muscle strength with anticholinesterase drugs

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A nurse identifies that a client exhibits the characteristic gait associated with Parkinson disease. When recording on the client's record, what term does the nurse use to document this gait? 1. ataxic 2. shuffling 3. scissoring 4. asymmetric

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The x-ray report of a client shows the presence of a greenstick fracture. What is a greenstick fracture? 1. a fracture with more than two fragments 2. an incomplete fracture with one side bent 3. a spontaneous fracture at the site of bone disease 4. a fracture that extends across the longitudinal axis of the bone shaft

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Non-weight bearing with crutches has been prescribed for a client with a leg injury. The nurse provides teaching before ambulation is begun. To facilitate walking with crutches, what is the most important activity the nurse should teach the client? 1. sit up in a chair to help strengthen back muscles 2. keep the unaffected leg in extension and abduction 3. exercise the triceps, finger flexors, and elbow extensors 4. use a trapeze frequently to strengthen the bicep muscles

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Which ethnic group has a greater incidence of osteoporosis due to musculoskeletal differences? 1. irish americans 2. african americans 3. chinese americans 4. egyptian americans

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Which synovial joint movement is involved in turning the client's palm downward? 1. eversion 2. inversion 3. pronation 4. supination

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An 80-year-old client is admitted to the hospital because of complications associated with severe dehydration. The client's daughter asks the nurse how her mother could have become dehydrated, because she is alert and able to care for herself. The nurse's best response is: 1. "the body's fluid needs decrease with age because of tissue changes" 2. "access to fluid may be insufficient to meet the daily needs of the older adult" 3. "memory declines with age, and the older adult may forget to ingest adequate amounts of fluid" 4. "the thirst reflex diminishes with age, and therefore the recognition of the need for fluid is decreased"

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The nurse is caring for a client with rheumatoid arthritis. When should the nurse expect the client to experience the most pain and limited movement of the joints? 1. after assistive exercise 2. when the room is cool 3. during the evening hours 4. in the morning on awakening

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When caring for a client who has acute respiratory distress syndrome (ARDS), the nurse would implement which measure to promote effective airway clearance? 1. administer sedatives around the clock 2. turn client every 4 hours 3. increase ventilator settings as needed 4. suction as needed

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Which joint in the client's body is an example of a gliding joint? 1. wrist 2. elbow 3. shoulder 4. sacroiliac

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After becoming incontinent of urine, an older client is admitted to a nursing home. The client's rheumatoid arthritis contributes to severely painful joints. Which need is the primary consideration in the care of this client? 1. control of pain 2. immobilization of joints 3. motivation and teaching 4. bladder training and control

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which joint in the human body is an example of a condyloid joint? 1. wrist joint 2. elbow joint 3. shoulder joint 4. sacroiliac joint

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Which factor is used to assess the quality of health care provided to a client? 1. fall prevention measures employed for the client 2. functional health status of the client after discharge 3. hand hygiene practiced by the health care personnel 4. teamwork and coordination among health care personnel

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After abdominal surgery, a goal is to have the client achieve alveolar expansion. The nurse determines that this goal is most effectively achieved by what method? 1. postural drainage 2. pursed-lip breathing 3. incentive spirometry 4. sustained exhalation

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A nurse prepares to administer extended-release metformin to an older adult who has asked that it be crushed because it is difficult to swallow. What will prompt the nurse to ask the provider for a different form of metformin? 1. this drug has a wax matrix frame that is difficult to crush 2. the drug has an unpleasant taste, which most clients find intolerable if crushed 3. if crushed, this drug irritates mucosal tissue and can cause oral and esophageal ulcer formation 4. extended-release formulations are designed to be released slowly, and crushing the tablet will prevent this from occurring

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Which term should the nurse use to describe synovial joint movement that moves away from the midline of the body? 1. inversion 2. extension 3. pronation 4. abduction

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which joint permits movement in any direction? 1. pivot joint 2. hinge joint 3. biaxial joint 4. ball and socket joint

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