DLD 2

An elderly client is admitted to a health care facility for the treatment of frequent seizures. What should the nurse use when attending to the personal hygiene of a client with seizures? A. towel bath B. tub bath C. bag bath D. bed bath

c. bag bath

An 80 year old client has been transferred from the neurological unit to a rehabilitative unit during the client's recovery from a stroke. The clients nursing care plan includes risk for disuse syndrome. What intervention should be performed to address this risk? A. encouraging the client to limit mobility in order to conserve energy B, teaching the client to limit fluid intake to reduce edema c. using a pressure-reducing device on the client's bed ,D. providing the client with a low-fat, high-protein diet

c. using a pressure-reducing device on the client's bed

The occupational nurse is assessing an employee's vital signs at rest. Which finding requires nursing intervention? A blood pressure 140/90 mmHg B, pulse rate 88 beats per minute c. temperature 98.8°F D. respirations 18 per minute

A blood pressure 140/90 mmHg

The nurse is caring for a client with diabetes who has thick toenails. What is the appropriate nursing intervention? A. Contact a podiatrist to care for toenails. B. Clean under the toenails with a wooden orange stick. c. Use a handheld electric rotary file to reduce the length of the toenails. D. Clip the toenails with large clippers.

A. Contact a podiatrist to care for toenails.

A nurse needs to restrain a client who may be harmful to himself. What is the priority nursing action when applying restraints? A. Take a physician's order for restraining. B. Reassess the client's condition every 2 hours. c. Administer chemical restraints first. D. Put padding below the restraints.

A. Take a physician's order for restraining.

A nurse is caring for a client with muscle spasms due to bad sitting posture. The nurse wants to teach the client correct sitting posture. Which sitting position is good for the client? A. The buttocks and upper thighs should become the base of support. B. The upper thighs should rest on the chair. C. Both the feet should be slightly above the floor. D. The knees should extend straight from the edge of the chair.

A. The buttocks and upper thighs should become the base of support.

A roller sheet has been placed under an elderly client who is receiving treatment for failure to thrive. When using a roller sheet in a client's care, the nurse must. A. ensure that the roller sheet is kept dry and wrinkle-free B, first ensure that the client is able to roll from side to side independently. c insert an indwelling urinary catheter to protect the roller sheet from urine. D, keep the siderails raised to prevent the client from rolling off the side of the bed

A. ensure that the roller sheet is kept dry and wrinkle-free

The nurse is teaching a 37-year-old client about factors that impair fitness and stamina. Which factors will the nurse identify? Select all that apply. A. obesity B. optimal muscle and skeletal function c. health problems D. smoking E. age

A. obesity c. health problems D. smoking E. age

A nurse has noticed that an older adult's hearing aid frequently produces a shrill, high-pitched noise. What possible solution should the nurse suggest to this problem with feedback? A. Encourage the client to change the batteries in the hearing aid frequently. B. Encourage the client to make sure the hearing aid is fully inserted in the ear canal. C. Encourage the client to ensure that cerumen does not accumulate in the ears. D. Encourage the client to clean their hearing aids frequently.

B. Encourage the client to make sure the hearing aid is fully inserted in the ear canal.

A nurse visits an older adult client at home and assesses the safety of the client's environment. Multiple small rugs are located in the home. Which statement by the nurse is appropriate when addressing the client's safety? A.You need to remove the small rugs from your house or you will fall." B. I am concerned that the small rugs in your home can be a tripping hazard." C. Your home needs to be a safe environment as older adults have a tendency to fall. D. I think you should replace your small rugs with skid-resistant rugs on the floor.

B. I am concerned that the small rugs in your home can be a tripping hazard."

A stable client is brought to the emergency department after ingesting too much prescribed medication. What is the priority nursing intervention? A Call family members. B. Induce vomiting. c. Administer antacids. D. Call the physician.

B. Induce vomiting.

A nurse suggests that an older adult client perform exercises in water. What is a benefit for older adults of performing exercises in water? A. It reduces blood pressure. B. It reduces stress on the joints. c. It keeps the body cool. D. It keeps the heart rate low.

B. It reduces stress on the joints.

A nurse is providing care for a client who is unconscious following a traumatic brain injury suffered in a motor vehicle accident. The nurse provides thorough oral care to the client on a regular basis. When providing this care, the nurse should take specific action to reduce the client's risk of what nursing diagnosis? A.Risk for Infection B. Risk for Aspiration c. Risk for Imbalanced Fluid Volume D. Risk for Impaired Skin Integrity

B. Risk for Aspiration

The nurse is caring for a client who has a large furuncle in the right axillae. What education will the nurse provide? A. Squeeze the lesion to release pus B. This chronic skin disorder is noninfectious. C. Launder personal bath items in hot water and bleach. D. Nits may be present on hairs under the axillae.

C. Launder personal bath items in hot water and bleach.

The nurse is teaching an unlicensed assistive personnel (UAP) about fire safety. Which UAP statement requires immediate nursing intervention? A. After clients are evacuated from the room with the fire, the alarm can be sounded." B. I will rescue clients from harm before doing anything else." C. Only certain members of the health care team can extinguish a fire." D. "I Will close the door to the room where the fire is after clients have been removed."

C. Only certain members of the health care team can extinguish a fire."

A nurse is caring for a client with a fractured arm. As part of hair care, what should the nurse do to increase circulation and distribution of sebum in the clients hair? A. Use a wide-toothed comb. B. Apply a conditioner or alcohol. C. Provide the client with a turban D. Brush the client's hair slowly.

D. Brush the client's hair slowly.

A nurse who is a member of a hospital's client safety committee is participating in an initiative to ensure that the institution meets the National Patient Safety Goals. What is the most important way in which this committee can meet these goals? A. Educate clients and families about actions they can take to protect their health while in the hospital. B. Enact guidelines for health promotion and primary disease prevention. c. Institute measures to reduce clients risks of death and injury while they are receiving care. D. Educate caregivers about the appropriate use of standard infection control precautions.

c. Institute measures to reduce clients risks of death and injury while they are receiving care.

An older adult client tells the nurse, "I don't bother exercising because I get too tired very quickly. What is the appropriate nursing response? A. If you'd just get started, you'd want to continue exercising. B. "Exercise must be done standing; do not try to exercise sitting down. c. "Try drinking some coffee first, and you will have more energy." "D. Alternate periods of activity with periods of rest."

"D. Alternate periods of activity with periods of rest."

The nurse is providing education to a community about creation of a safe exercise program. Which teaching will the nurse include? Select all that apply. A Dress in layers according to temperature. B. Build up to 30 minutes or more of moderate-intensity physical activity on most days. C. Eat proteins before exercising. D. See a health care provider prior to starting an exercise program. E. Wear supportive shoes. F. Plan at least 300 minutes of moderate-intensity exercise weekly, divided into no less than 10 minutes or longer over multiple days. G. Exercise alone if you are embarrassed to get started.

A Dress in layers according to temperature. B. Build up to 30 minutes or more of moderate-intensity physical activity on most days. D. See a health care provider prior to starting an exercise program. E. Wear supportive shoes.

The nurse is preparing a client for a stress electrocardiogram. Which client statement requires further nursing teaching? A. "I will keep walking, even if I feel exhausted: B. "The speed and incline of the treadmill will increase as the test goes on: c. "You will monitor my heart rate and rhythm while I walk." D. "I will wear a pulse oximeter to measure my level of oxygenation."

A. "I will keep walking, even if I feel exhausted:

A nurse is calculating the maximum heart rate of a 20-year-old client who has undergone a prescribed fitness level test. What should this client's Heart rate be? A. 200 beats per minute B. 170 beats per minute c. 120 beats per minute D. 150 beats per minute

A. 200 beats per minute

The occupational nurse is teaching employees about maintaining good posture. Which teaching will the nurse include? (Select all that apply) A. Bend the knees slightly to avoid straining joints. B. Keep the shoulders even and centered above the hips. C. Push the buttocks out and hold the abdomen up to properly align the spine D. Alternate placing weight on one foot versus the other. E. Maintain the hips at an even level.

A. Bend the knees slightly to avoid straining joints. B. Keep the shoulders even and centered above the hips. E. Maintain the hips at an even level.

A nurse in a psychiatric care unit finds that a client with psychosis has become violent and is actively trying to harm another client in the unit. What action should the nurse take? A. Call for assistance to remove the client from the area. B. Forcefully remove the client and place in four-point restraints. c. Inject the client while being restrained with antipsychotic medication. D. Step in front of the client so that the other client will be protected.

A. Call for assistance to remove the client from the area.

The nurse is caring for a client who has been placed in physical restraints. Which nursing action is appropriate? Select all that apply. A. Check circulation and skin condition frequently and regulariy. B. Offer opportunities for toileting frequently and regularly. C. Continue using the restraints until discharge. D. Obtain a physician order 2 hours after restraints are applied. E. Communicate with the family regarding the need for restraints.

A. Check circulation and skin condition frequently and regulariy. B. Offer opportunities for toileting frequently and regularly. E. Communicate with the family regarding the need for restraints.

The nurse is caring for a client with a latex allergy. Which nursing interventions are appropriate? Select all that apply. A. Communicate to the interdisciplinary health care team to use nonlatex equipment. B. Teach the client to wear a Medic- Alert bracelet c. Remove blueberries from the client's dietary tray. D. Assign the client to a semi-private room so the roommate can report any reactions E. Apply an allergy-alert identification bracelet on the client. F. Flag the chart and room door

A. Communicate to the interdisciplinary health care team to use nonlatex equipment. B. Teach the client to wear a Medic- Alert bracelet E. Apply an allergy-alert identification bracelet on the client. F. Flag the chart and room door

A nurse is caring for a client with severe back pain. The client has been lying flat on his back in bed for a long time. Which body position has the highest potential for causing foot drop in a bedridden client? A. supine B. Sims c. prone D. lateral

A. Supine

A nurse is caring for a client who is sensitive to latex. What is the simplest and most appropriate way to avoid exposing the client to latex? A. Use nonlatex gloves for the client. B. Collect the appropriate history of the allergy. c. Instruct the client to stay away from latex products. D. Wash hands before performing any procedure on the client.

A. Use nonlatex gloves for the client.

A nurse is assessing a client during a health care camp. The nurse observes that the client has poor hygiene and an itchy, infected scalp. What should the nurse ask the client to do? A. Wash hair daily. B. Use oil-based shampoo. c. Use dry shampoo. D. Use antilice shampoo.

A. Wash hair daily.

The nurse is caring for a client who has undergone a mastectomy. Which example(s) of active exercise will the nurse emphasize? Select all that apply A. asking the client to squeeze a soft ball B. instructing the client to swing a rope attached to a doorknob C. performing range-of-motion exercise for the arm on the opposite side of the surgery D. having the UAP perform gentle ankle rotation until the client regularly ambulates E. having the client comb her hair with the arm on the surgical side

A. asking the client to squeeze a soft ball B. instructing the client to swing a rope attached to a doorknob E. having the client comb her hair with the arm on the surgical side

A nurse is working with an elderly client who possesses numerous risk factors for disuse syndrome. When assessing this client for disuse syndrome, what assessments should the nurse prioritize? Select all that apply. A. assess the client's bowel elimination patterns B, assess the client's temperature and blood pressure c. assess the client's cognition D assess the client's current level of mobility E. assess the client's skin integrity

A. assess the client's bowel elimination patterns c. assess the client's cognition D assess the client's current level of mobility E. assess the client's skin integrity

During discharge teaching with a client who has been treated for a hernia, the nurse has discussed the benefits of a regular regimen of physical exercise. What benefits of regular exercise should the nurse cite? Select all that apply. A. reduced blood glucose levels B. increased urine concentration C. decreased low-density blood lipids D reduced blood pressure E improved bowel function

A. reduced blood glucose levels C. decreased low-density blood lipids D reduced blood pressure E improved bowel function

The nurse is caring for four clients. Which does the nurse anticipate may have a latex sensitivity? A. 43-year-old who avoids nuts due to diverticulitis B. 21-year-old who cannot eat bananas c. 30-year-old who is lactose intolerant D 55-year-old who does not drink orange juice due to gastroesophageal reflux disease (GERD)

B. 21-year-old who cannot eat bananas

A nurse is explaining the need for bathing to an eldely client who has been avoiding a daily bath. Which benifit of bathing should the nurse explain to the client. A.Bathing maintains the body temperature. B. Bathing reduces the possibility of infection. C. Bathing prevents skin from peeling. D. Bathing keeps mucous membranes soft and moist.

B. Bathing reduces the possibility of infection.

An unconscious client is brought to the emergency department after ingesting too much prescribed medication. What is the priority nursing intervention? A. Establish IV access. B. Establish a patent airway. c. Administer antacids. D. Call family members.

B. Establish a patent airway.

A client reports developing repeated furuncles in the groin area. What statement(s) made by the client indicates to the nurse that education about Prevention will be required? Select all that apply. A. I use a separate towel from other members of my household." B. I ruptured the furuncle so that hydrogen peroxide and an antibiotic cream can be applied." C. I have aspirated the drainage with a needle to relieve the pressure and the pain." D. I use good hand hygiene before and after washing the area and applying the prescribed medication.

B. I ruptured the furuncle so that hydrogen peroxide and an antibiotic cream can be applied." C. I have aspirated the drainage with a needle to relieve the pressure and the pain."

The nurse manager notices that a nurse is wearing artificial fingernails. What is the appropriate nurse manager action? Select all that apply. A. Demand that the nurse remove the artificial fingernails immediately. B. Remind the nurse that artificial fingernails can spread fungal infections. C. Refer the nurse to the agency policy on artificial fingernails. D. Ask the nurse to use only fingernail polish instead of artificial fingernails. E. Provide the nurse with evidence that demonstrates outcomes of appropriate hand

B. Remind the nurse that artificial fingernails can spread fungal infections. C. Refer the nurse to the agency policy on artificial fingernails. E. Provide the nurse with evidence that demonstrates outcomes of appropriate hand

The nurse cares for an older adult client who reports feeling dizzy when moving from sitting to standing. Which response by the nurse is most appropriate in addressing the physiological causes of the situation the client is experiencing? A. Wearing compression stockings can help by limiting how much blood can pool in your legs if you often sit for a long time. B. Sometimes after periods of inactivity the blood vessels do not constrict quickly and a drop in your blood pressure occurs when you stand C. When you move from sitting to standing, hold onto the chair for a few minutes, and look straight ahead and take a couple of deep breaths before slowly starting to walk. D. Dehydration is a common cause of low blood pressure that causes dizziness, so drinking 1 to 2 glasses of water before standing may be helpful.

B. Sometimes after periods of inactivity the blood vessels do not constrict quickly and a drop in your blood pressure occurs when you stand

A nurse is caring for a client who recently underwent hip replacement surgery. What type of exercise should the nurse suggest for this client in order to restore muscle and joint functioning? A. isotonic exercises B continuous passive motion machine exercises C. isometric exercises D. active exercises

B. continuous passive motion machine exercises

The nurse is caring for a client who has a fungal infection in the groin. The client reports feeling sore and itchy. Upon assessment, the nurse notes a cluster of vesicles that are scaly and cracked. What Tinea kind of condition does the nurse anticipate? A capitis B, cruris c corporis D. pedis

B. cruris

A nurse is caring for a client with chronic back pain. The client attributes the pain to the client's teaching job, which involves long hours of standing In the classroom. Which position can contribute to a good standing posture and relieve the pain? A. maintaining the hips at an uneven level B. distributing weight equally between the feet C. keeping the knees straight D. holding the chest slightly backward

B. distributing weight equally between the feet

The nursing instructor is observing a nursing student who is about to administer a medication. Which nursing student behavior concerning client identification does the nursing instructor validate as appropriate? A. identifies client's room number and full name B. identifies clients full name and date of birth C. identifies client's last name and room number D. identifies client's date of birth and last name

B. identifies client's full name and date of birth

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? A. placement of trapeze handles on pathway B. strategically placed handrails C. installation of non-glare lighting in the pathway D. placement of furniture around the room

B. strategically placed handrails

A nurse is assisting a client in performing prescribed range-of-motion exercises. What is one of the reasons why these exercises are being performed? A. to promote cardiorespiratory function and reduce body fat B. to maintain joint mobility and Rexibility in active clients c. to stretch muscles before performing more strenuous activities D. to test a client's ability to bear weight

B. to maintain joint mobility and Rexibility in active clients

The poison control nurse receives a call from the caregiver of a young school-age child who may have ingested a poisonous substance. Which is the priority response by the nurse? A. At what time did the child ingest the substance?" B. What do you think that the child might have ingested?" C. Check breathing and heart rate." D. Induce vomiting while vou wait for emergency personnel to arrive

C. Check breathing and heart rate.

A nurse is preparing to help a client with a skin infection have a tub bath. In which way can the nurse ensure the client's safety? A. Give the client a damp towel for bathing. B. Keep a bottle of bathing oil near the tub. C. Check that the bathroom has a nonskid floor. D. Check that the grab bars are at shoulder level.

C. Check that the bathroom has a nonskid floor.

The nurse is teaching a client about ambulatory electrocardiogram. Which client statement requires further nursing teaching? Select all that -apply. A. "I will wear this device for 24 hours. B. "This procedure will assess how my heart reacts to normal activity: C. This will help me understand how my heart performs when I swim." D. It is acceptable for me to go through the metal detector at the airport." E. "I can take a sponge bath while wearing this device."

C. This will help me understand how my heart performs when I swim." D. It is acceptable for me to go through the metal detector at the airport."

A 71-year-old client is concerned about brown patches of skin on their face and forearm. What is the appropriate nursing statement? A. "Those spots are senile lentigines and may be cancerous: B. Those spots are benign and are known as seborrheic keratoses." C. Those are senile lentigines and are common in older adults. D. "Older people often have splotchy skin due to seborrheic keratoses

C. Those are senile lentigines and are common in older adults.

A nurse who works with older adults is aware of the high incidence of falls among this population. Which individual exhibits a significant risk factor for falls? A. woman who takes anticoagulants because of her history of stroke B. a man who has been recently diagnosed with type 2 diabetes C. a woman who is prone to episodes of low blood pressure D. a man who recently had surgery to repair a fractured humerus (upper arm)

C. a woman who is prone to episodes of low blood pressure

A nurse is assessing a client with dental problems including irritation, inflammation, and bleeding gums. The nurse recognizes that what condition may be contributing to these signs and symptoms? A. sordes B, periodontal disease C. gingivitis D. plaque

C. gingivitis

The nurse is delegating inactive client positioning to a UAP. What directions will the nurse include? A. helping the client change positions every 4 hours B. using a sheet to drag and lift the client C. placing the client in good alignment with joints slightly flexed D. providing skin care before repositioning

C. placing the client in good alignment with joints slightly flexed

The nurse has delegated oral care for an unconscious client to an unlicensed assistive personnel (UP). Which UAP action requires immediate nursing intervention? A. applying petroleum jelly to lips B. mixing equal parts baking soda and table salt in warm water to be used to remove accumulated secretions C. placing the client supine to perform mouth care D. moistening oral swabs before inserting them into the mouth

C. placing the client supine to perform mouth care

A physician has directed a nurse to assist a client to perform exercises in order to prevent ankylosis. What type of exercise should the nurse assist the client with in this case? A. aerobic exercises B. continuous passive motion (CPM) machine exercises C. range-of-motion exercises D. Active exercises

C. range-of-motion exercises

A nurse at a health care facility is suggesting the use of isometric exercise to a client. What is the major purpose of isometric exercise? A to prevent ankylosis B. to maintain flexible joints C. to increase lean muscle mass D. promote cardiorespiratory conditioning

C. to increase lean muscle mass

A nurse is providing nail care for feet to clients admitted to a health care facility. What should the nurse look for while performing nail care for a client with a long history of diabetes? A. Redness and swelling in the joint of the big toe with reports of pain B. Cold feet C.Breaks in skin integrity and fungal nail infection D. A bony bump on the joint at the base of the big toe

C.Breaks in skin integrity and fungal nail infection

A nurse is caring for an older adult client at risk of injury due to confusion. The client has a stable gait. Which method of restraining should the nurse use? A. waist restraint B. locking lap tray chair c. vest restraint D, alarm-activating bracelet

D, alarm-activating bracelet

The nurse is teaching a nursing student about caring for a client with dentures. Which education will the nurse provide? A "Use your ungloved hands to remove an unconscious client's dentures. B. "Clean dentures with hot water to eliminate bacteria: C. After brushing dentures, leave them out of the client's mouth overnight. D. Hold dentures over a plastic basin or towel when cleaning them.

D. "Hold dentures over a plastic basin or towel when cleaning them:

A client with psoriasis tells the nurse, "I finally found a remedy online that will cure my psoriasis." What is the appropriate nursing response? A. "This is great news; please let me know how this remedy works for you." B. "The medication your health care provider prescribed will cure psoriasis C. "| know you will feel much better after you have been cured of psoriasis. D. Advertised remedies that promise a cure may be a scam:

D. Advertised remedies that promise a cure may be a scam

A client with a fractured leg and arm needs to be transferred to the x-ray unit. Which nursing guideline should be followed during client transfer? A. Tell the client about the time to get out of bed. B. Arrange the stretcher next to the client's weaker side. c. Unlock the wheels of the bed, wheelchair, or stretcher. D. Assess the client's strength and mobility.

D. Assess the client's strength and mobility.

The nurse is preparing to provide hygiene for a client who has a leg cast and activity restrictions. Which is the priority nursing intervention that will be performed to prepare for hygiene care. A Gather towels, washcloths, and soap. B. Determine how to protect the cast with waterproof material. c Assess the client's level of consciousness. D. Check the nursing care plan for hygiene directives.

D. Check the nursing care plan for hygiene directives.

A nurse on a home visit to a healthy elderly client finds that too much clutter has accumulated in the house. What is the most appropriate nursing diagnosis for the client? A. Impaired mobility B. Disturbed sensory perception C. Impaired walking D. Impaired home maintenance

D. Impaired home maintenance

The nurse has completed proper body mechanic educalion for a group of unlicensed assisive personnel (UAP). Which UAP statement requires the nurse to intervene? A. "We should report to our manager if items we need are located on shelves that are too high to reach." B "I will ask another UAP to assist with lifting heavy loads." c. When moving a client, we need to plan ahead for the distance we will be going: D. It is easier to twist my back when moving objects from side to side."

D. It is easier to twist my back when moving objects from side to side."

A nurse is caring for a client with cardiac dyspnea. The nurse assists the client into Fowler position. Which advantage does Fowler's position offer a client with dyspnea? A. It makes it easier for the client to eat, talk, and look around. B. It provides good drainage from bronchioles. c. It reduces the possibility of developing foot drop. D. It relieves pressure on the diaphragm, allowing easy breathing.

D. It relieves pressure on the diaphragm, allowing easy breathing

The daughter of an elderly man who resides at a long-term care facility has confronted the nurse with the fact that her father has not been receiving full baths on a fiequent basis and has instead been receiving partial baths. What is an acceptable rationale for providing partlal baths rather than full baths to older adult clients? A. Partial baths are more time-efficient than full baths. B. Partial baths remove more dead skin and debris than a full bath. C. Partial baths are less disruptive to a client's daily routine. D. Partial baths deplete less of the client's skin oils than a full bath.

D. Partial baths deplete less of the client's skin oils than a full bath.

A nurse is delegating some aspects of client hygiene to an unlicensed care provider and is ensuring the care provider has adequate knowledge to safely perform shaving. With which client would the use of a razor be contraindicated? A. man who is the early stages of Alzheimer's disease B. a man who has a history of type 1 diabetes and who takes insulin daily C. man who had an unkempt beard and mustache upon admission D. a man who has a history of stroke and who takes oral anticoagulants

D. a man who has a history of stroke and who takes oral anticoagulants

A nurse is caring for client at a health care facility whose treatment includes exercise. Which nursing diagnosis is most likely for this client? A. ineffective breathing pattern B. impaired social interaction C. perioperative-positioning injury D. delayed surgical recovery

D. delayed surgical recovery

A nurse instructs a client with cognitive impairment to get into Sims position, but the client, whose word recall is diminished, is unable to understand the instruction. What should the nurse do when instructing clients with cognitive impairment? A. use illustrations of the desired action to the client B. ask the client to use the side rails when moving c. use simple and clear words when giving instructions D. demonstrate the position to convey the message

D. demonstrate the position to convey the message

A nurse is showing a group of clients the correct way to move their body parts during their daily exercise regimen at a health care facility. Which effect occurs when a person adheres to proper body mechanics? A. reduced muscle injuries B. reduced skin breakdown c. reduced trauma D. increased muscle effectiveness

D. increased muscle effectiveness

A physician has ordered an obese client to join an aerobic exercise class to promote cardiorespiratory conditioning. Which of the following fitness exercises is most suitable for the client? A isometric exercise B, active exercise c therapeutic exercise D. isotonic exercise

D. isotonic exercise

A comatose client is being treated in the intensive care unit of a health care facility. What type of exercise should the nurse assist this client to perform in order to maintain the muscle tone and flexibility of the client's joints? A. isometic exercise B. isotonic exercise c. active exercise D. passive exercise

D. passive exercise

A nurse needs to change the soiled linen and body position of a client who is confined to bed and has developed bedsores. Which general principle of positioning should the nurse follow? A fasten drainage tubes to the bed linen B, change the client's position every half hour c. tuck in pillows and positioning devices D. raise the bed to the height of the caregiver's elbow

D. raise the bed to the height of the caregiver's elbow

The nurse is caring for a client with incontinence who has been neglected in supine position at home for more than a week. Which priority nursing diagnosis will the nurse select? A impaired transfer ability B. risk for disuse syndrome c. impaired physical mobility D. risk for impaired skin integrity

D. risk for impaired skin integrity

A nurse has been commissioned to ensure that the policies and procedures at a large, multisite health care institution comply with the Nursing Home Reform Law. What trend initially prompled the enactment of this legislation? A. A series of fires that occurred in nursing homes in the 1980s B. the high incidence of accidental poisonings among older adults living in care facilities C. increases in the number of falls among older adults and the deaths attributable to falls D. the widespread use of physical restraints in long-term care facilities

D. the widespread use of physical restraints in long-term care facilities

A nurse is providing nail care to a client at a health care facility. Why is it important for the nurse to soak the client's hands in warm water prior to nail care? A to help the cuticles withdraw B, to loosen the skin near the nails c. to loosen the nails D. to soften the keratin

D. to soften the keratin

The nurse is teaching a client about moving joints into postions of pronation and supination. Which client action does the nurse identiy that Appropriately reflects these movements? A. tilts the chin down to touch the chest and then stretches the head back as far as it will go B. moves the legs away from the midline and then toward the midline C. turns the sole of the foot toward the midline and then away from the midline D. turns the arms downward and then upward

D. turns the arms downward and then upward