Prep U: Chapter 24

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 teaching was effective when the client states which of the following?

"If I experience pain when I'm exercising, I should stop."

The nurse is assisting an elderly client with dementia to get dressed after morning care. Which statement would be most beneficial to the patient?

"Put your arm in this sleeve."

A patient is preparing to mobilize for the first time following the surgical removal of a bunion on her left foot. How should the nurse instruct the patient to ambulate with her crutches?

"Try to avoid putting too much pressure on your armpits with the tops of the crutches."

A client who tore his quadriceps muscle during a soccer match is being treated at a health care facility. The physician has prescribed exercise for the quadriceps muscles in order to rehabilitate the client. How should the client perform quadriceps setting exercises?

By alternatively tensing and relaxing the muscles

A nurse uses proper body mechanics to move a client up in bed. Which of the following is a guideline for using these techniques properly?

Face the direction of movement.

The cardiac response to exercise is well-researched and documented. Which of the following is a cardiovascular response to regular exercise?

Increased efficiency of the heart

The nurse is assessing the developmental level of children in a pediatric clinic. The nurse would be most concerned about which client?

The 24-month-old child who is unable to walk unassisted

A nurse is caring for an inactive client and assisting the client in performing range-of-motion exercises. What care should the nurse take when performing range-of-motion exercises?

Move each joint until there is resistance but no pain

A nurse is preparing to turn a hospitalized client age 65 years. Which of the following is a recommended guideline for performing this skill?

Position a friction-reducing sheet under the client.

The nurse is caring for a client who is on bed rest and was just turned to the left side. Which of the following actions should you take next to decrease the risk of impaired skin integrity?

Pull the shoulder blade forward and out from under the client.

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?

Range of motion exercises

A nurse is demonstrating the proper use of body mechanics to a group of nursing students. Which of the following would be most appropriate for the nurse to do?

Stand with legs wide apart

When explaining the benefits of isotonic exercises to promote cardiorespiratory conditioning and increase lean muscle mass, which of the following exercises should the nurse tell the client to perform?

aerobic exercise

A nurse is assisting a client to ambulate at the health care facility using a walking belt. How does the walking belt assist the client when ambulating?

allows the nurse to support the client

A nurse is caring for a client whose fractured leg is in a cast. Which of the following ambulatory devices could the nurse suggest for the client to ambulate at the health care facility?

axillary crutch

What body system benefits the most from aerobic exercises?

cardiovascular

A nurse is assessing the musculoskeletal system of a client during an initial visit to the clinic. The assessment reveals insufficient joint lubrication in the knees. The nurse documents this finding as which of the following?

crepitus

What is a benefit of regular exercise over time?

decreased heart rate

A client 80 years of age experienced dysphagia (impaired swallowing) in the weeks following a recent stroke, but his care team wishes to now begin introducing minced and pureed food. How should the nurse best position the client?

fowlers

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.

A nurse teaches a student nurse the importance of ambulating patients to prevent the effects of immobility on body systems. Which of the following is one of these effects?

impaired circulation

When assisting a client with ambulation using an assistive device such as parallel bars or a walking belt, what should the nurse observe the client for?

pallor, weakness, and dizziness

A nurse is caring for a comatose patient. What can happen to the feet if they are unsupported in the dorsiflexed position?

plantar flexion and footdrop

An immobile person has decreased movement of respiratory secretions. What condition is a greater risk as a result?

respiratory tract infection

Which postural deformity might be assessed in a teenager?

scoliosis

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 which of the following?

tremor

The nurse is assessing the client for muscle mass, tone, and strength and determines that there is increased tone that interferes with movement. The nurse documents this finding as:

spasticity.

A nurse is providing care for a client who has been newly admitted to the long-term care facility. What is the primary criterion for the nurse's decision whether to use a mechanized assistive device for transferring the client?

the clients ability to assist

While performing passive range-of-motion exercises on the lower extremities of a patient with a spinal cord injury, the nurse assesses permanent flexion of the muscles. What term will the nurse use to document this finding related to the muscles?

contractures

The 55 year-old client who is newly diagnosed with osteoarthritis of the hips asks the nurse why it hurts when walking. What is the nurse's best response?

"You have lost the padding in your joints and the friction causes pain."

Which of the following ambulatory aids could a nurse suggest to assist a client who has weakness in one side of his body?

A cane

A college student fell and sprained his right ankle. The student health physician recommends the student use crutches to facilitate healing. Which of the following would the nurse teach the student?

A college student fell and sprained his right ankle. The student health physician recommends the student use crutches to facilitate healing. Which of the following would the nurse teach the student?

A group of nursing students are reviewing the aspects of motor function control by the nervous system. The students demonstrate understanding of this information when they identify which of the following as a function of the cerebellum?

Coordination of movement motor activities

The nurse is caring for a client who has been on bed rest. The primary care provider has just written a new order for the client to sit in the chair three times a day. Which of the following actions will be most effective to transfer the client safely into the chair?

Have the client sit on the side of the bed for several minutes before moving to the chair.

A client with a hip fracture is returning to the orthopedic unit, and the orders indicate that the client should be turned by logrolling. What statement is correct regarding logrolling?

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

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/he states that back injuries:

can occur when repositioning uncooperative clients.