Concepts of nursing CH34 questions
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The nurse teaches proper body mechanics for a group of unlicensed assistive personnel (UAP). Which statement by a class participant indicates the need for
additional education?
When lifting an object, I will bend at the knees instead of the waist.
When I lift and carry a heavy box of supplies I will keep it at arm’s length from my body.
When I lift an object, I will get close to the object being lifted.
When lifting an object, I will keep my feet shoulder width apart.
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?
“Do not put on your shoes yet.”
“Put your arm in this sleeve.”
“Put your pants on and zip the zipper.”
“Put on your shirt.”
After positioning a client to move from the bed into a wheelchair, how would the nurse stand when helping the client sit up on the side of the bed?
near the client's hip, with legs shoulder width apart and one foot near the head of the bed
to the nondominant side of the client, with legs together and one foot near the head of the bed.
near the client's hip, with legs together
to the dominant side of the client, with legs together and one foot near the head of the bed
The nurse is providing health teaching for a client who flies often for business. Which risk factor associated with flying will the nurse emphasize?
thrombus formation
oliguria
skeletal contractures
pooling of secretions
A nurse is working with a client who has a history of lung disease and arthritis
to develop an exercise program. The nurse instructs the client to take which action before beginning the program?
pick an activity the client enjoys to promote adherence
choose a specific single-exercise activity
obtain a pre-exercise medical examination for clearance
understand that the activity will have positive benefits.
The nurse moves a client’s arm from an outstretched position to a position at the side of his body. What is the term used to describe this type of body movement?
Abduction
Extension
Adduction
Circumduction
When moving a client up in bed with the assistance of another caregiver, the nurse should:
elevate the head of the bed.
have the client fold the arms across the chest.
ask another nurse about the plan of care.
maintain a pillow under the client’s head.
A client with limited mobility has outward rotation of the bony protrusions at the head of the femur. Which assistive device would the nurse include in the plan of care?
foot splints
foot boards
roller sheets
trochanter rolls
A nurse is providing care to a client confined to bed. To promote independence while the client is moving in bed and provide the client assistance in moving up in bed, which device would be appropriate?
bed cradle
trochanter roll
bed trapeze
foot board
The nurse is caring for a client with hemorrhoids. To facilitate a rectal examination, into which position will the nurse place the client?
Fowler's
supine
Sims'
Prone
A 74-year-old client has kyphosis and is reporting discomfort of the cervical vertebrate. Which nursing intervention is
most
appropriate?
administering a muscle relaxer
placing a small towel under the neck
positioning the client on the stomach
contacting the primary health care provider
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Related Questions
You are assisting a client with range-of-motion (ROM) exercises. The client does not want to participate and tells you to leave the room. Does the person have the right to refuse? What will you do? Who should you report this to? Will nursing have to take action?
arrow_forward
Situation 4
Mrs. Gregg insists on getting up by herself and moving independently
from her chair to the bathroom. She uses a walker. Occasionally she
falls. She is a private person and does not want you to attend her in the
bathroom.
Client's Feelings
PSW Actions (physical and emotional help)
arrow_forward
A nurse is ambulating a 48-year-old female patient for thefirst time following surgery for a knee replacement. Shortlyafter beginning to walk, the patient tells the nurse that she isdizzy and feels like she might fall. Place these nursing actions
in the order in which the nurse should perform them to pro-tect the patient:
a. Grasp the gait belt.b. Stay with the patient and call for help.c. Place feet wide apart with one foot in front.d. Gently slide patient down to the floor, protecting her head.e. Pull the weight of the patient backward against your body.f. Rock your pelvis out on the side of the patient.
arrow_forward
Under which condition would the nurse cut away all the client's clothing? Select all that
apply. One, some, or all responses may be correct.
When cervical spine protection is needed
If client is suffering from a simple fracture
If fabric may fuse to the client's skin because of burns
If rapid access to the client's body is critical for resuscitation
When needing access to a particular body part during an emergent situation
arrow_forward
Which of these objectives is a long-term objective for a client recovering from a fall?
Walk around the room once a day
Walk up and down the hall once per shift
Participate in the college basketball tournament
Avoid use of bedpan and walk to the bathroom
Walk around the hall for 5 minutes
arrow_forward
A nurse is caring for a school-age child following the application of cast to a fractured right tibia. Which of the following actions should the nurse take first?-Administer pain medication-Teach the child about cast care-Elevate the child’s leg-Petal the edges of the cast
arrow_forward
Upon finding a client is restless at night, has muscle spasms, and is at risk of falling out of bed, the nurse obtains a provider's prescription for restraints. In which order would the nurse apply the prescribed restraints?
Pad any skin and bony prominences that will be under therestraint
Secure the restraint with a quick-release tie without making a knot
Adjust the bed to a proper height and lowering the side rail on the side of client contact
Apply a proper-sized restraint according to the manufacturer's direction
Assess proper placement of the restraint, skin integrity, pulses, skin temperature, color, and sensation of body parts
Attach restraint straps to the portion of the bed frame that moves whlle raising or lowering the head of the bed
arrow_forward
Which of the following is a correctly written goal for a patient who is scheduled to ambulate following hip surgery?
O Patient will become mobile within a 24-hour period.
O Over the next 24-hours period, the patient will walk the length of the hallway assited by the nurse.
Offer to help the patient walk the length of the halway each day.
O The nurse Will help the patient ambulate the length of the hallway once a day.
arrow_forward
A child admitted to the neuro ward suddenly became unresponsive and started showing
abnormal hand and leg movements with up rolling of eyeballs and tongue bite in front of
the relative. Which of the following actions by the relative should be stopped by the
nurse?
Answer Choices:
a. Turning the patient on one side
b. Protecting the patient by keeping side rails up
c. Inserting a rubber object between teeth to prevent tongue bite
d. Loosening the clothes of the child
arrow_forward
The medication nurse is to administer medications to a hospitalized client. Which of the following actions would a nurse be expected to perform when instilling eyedrops correctly? (Select all that apply.)
1. Wash hands and put on gloves.
2. Have the patient look up and focus on something on the ceiling.
3. Place the thumb near the margin of the lower eyelid and exert pressure upward over the bony prominence of the cheek.
4. Tilt the patient's head back slightly if sitting or place the head on a pillow if lying down.
5. Clean the eyelids and eyelashes of any drainage with cotton balls soaked in clean water.
arrow_forward
List and describe 5 different positions of a client during Physical Assessment
Position
Description
arrow_forward
When providing care for a child who is in balanced suspension skeletal traction using a Thomas splint and Pearson attachment to the right
femur, which intervention is most important for the nurse to implement?
A Cleanse pin sites as prescribed.
OB Monitor peripheral pulses and sensation in the right leg.
C Change position every 2 hours.
D Assess skin for redness and signs of tissue breakdown.
arrow_forward
What specific interventions will you use to address the affected UE?
How might you address their trunk/posture and positioning in different positions (bed, w/c, standing)?
What will you teach your patient/family to work on outside of treatment times?
Your patient had a L CVA (R hemiparesis) 2 days ago and has a flaccid RUE. They have difficulty standing, keeping their weight on their L side. They demonstrate slight lateral trunk flexion to the R in sitting and supine with slight cervical flexion to the R. While seated and standing, their weight is shifted to the L.
arrow_forward
Imagine you are working as a P.T.aide, in a Outpatient clinic. You are asked to prepare a patient for evaluation by a Physical therapist. The pa has been diagnosed with rheumatoid arthritis and is experiencing acute inflammation of the left knee? The PT is to conduct a thorough evaluation of the patient to determine the appropriate treatment given their condition.
Positioning
1. Describe how the patient will be positioned for the planned treatment
2.Explain how you might assist the patient if required
3.Explain what steps you will take to protect the patient joints from further injury.
Draping
Indicate any articles of clothing that will be removed for the planned treatment.
2.Describe how the patients body will be draped for the planned treatment
arrow_forward
Sally Ann is a medical assistant at the local clinic. She has been employed by the clinic for 3 years. She attends annual trainings and participates in required continuing education units yearly as required by her certification. Sally Ann has been partying hard all week because she is turning 21 years old. On the Monday after arriving at work, she sees on the schedule she will be working in the lab. She puts her personal items away and goes directly to the lab where Ms. Austin has been waiting to have her blood drawn. Sally Ann places the tourniquet on the patient to palpate for the vein. She feels a good basilic and median vein. She picks the basilic. Ms. Austin tells Sally Ann she prefers the other arm, which usually is great for blood draws. Sally Ann tells Ms. Austin the vein she found is fine and proceeds. Sally Ann turns around to get an alcohol swab to wipe the area but doesn’t find one. She tells Ms. Austin she will be right back because the lab wasn’t stocked up. When Sally…
arrow_forward
Sally Ann is a medical assistant at the local clinic. She has been employed by the clinic for 3 years. She attends annual trainings and participates in required continuing education units yearly as required by her certification. Sally Ann has been partying hard all week because she is turning 21 years old. On the Monday after arriving at work, she sees on the schedule she will be working in the lab. She puts her personal items away and goes directly to the lab where Ms. Austin has been waiting to have her blood drawn. Sally Ann places the tourniquet on the patient to palpate for the vein. She feels a good basilic and median vein. She picks the basilic. Ms. Austin tells Sally Ann she prefers the other arm, which usually is great for blood draws. Sally Ann tells Ms. Austin the vein she found is fine and proceeds. Sally Ann turns around to get an alcohol swab to wipe the area but doesn’t find one. She tells Ms. Austin she will be right back because the lab wasn’t stocked up. When Sally…
arrow_forward
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Related Questions
- You are assisting a client with range-of-motion (ROM) exercises. The client does not want to participate and tells you to leave the room. Does the person have the right to refuse? What will you do? Who should you report this to? Will nursing have to take action?arrow_forwardSituation 4 Mrs. Gregg insists on getting up by herself and moving independently from her chair to the bathroom. She uses a walker. Occasionally she falls. She is a private person and does not want you to attend her in the bathroom. Client's Feelings PSW Actions (physical and emotional help)arrow_forwardA nurse is ambulating a 48-year-old female patient for thefirst time following surgery for a knee replacement. Shortlyafter beginning to walk, the patient tells the nurse that she isdizzy and feels like she might fall. Place these nursing actions in the order in which the nurse should perform them to pro-tect the patient: a. Grasp the gait belt.b. Stay with the patient and call for help.c. Place feet wide apart with one foot in front.d. Gently slide patient down to the floor, protecting her head.e. Pull the weight of the patient backward against your body.f. Rock your pelvis out on the side of the patient.arrow_forward
- Under which condition would the nurse cut away all the client's clothing? Select all that apply. One, some, or all responses may be correct. When cervical spine protection is needed If client is suffering from a simple fracture If fabric may fuse to the client's skin because of burns If rapid access to the client's body is critical for resuscitation When needing access to a particular body part during an emergent situationarrow_forwardWhich of these objectives is a long-term objective for a client recovering from a fall? Walk around the room once a day Walk up and down the hall once per shift Participate in the college basketball tournament Avoid use of bedpan and walk to the bathroom Walk around the hall for 5 minutesarrow_forwardA nurse is caring for a school-age child following the application of cast to a fractured right tibia. Which of the following actions should the nurse take first?-Administer pain medication-Teach the child about cast care-Elevate the child’s leg-Petal the edges of the castarrow_forward
- Upon finding a client is restless at night, has muscle spasms, and is at risk of falling out of bed, the nurse obtains a provider's prescription for restraints. In which order would the nurse apply the prescribed restraints? Pad any skin and bony prominences that will be under therestraint Secure the restraint with a quick-release tie without making a knot Adjust the bed to a proper height and lowering the side rail on the side of client contact Apply a proper-sized restraint according to the manufacturer's direction Assess proper placement of the restraint, skin integrity, pulses, skin temperature, color, and sensation of body parts Attach restraint straps to the portion of the bed frame that moves whlle raising or lowering the head of the bedarrow_forwardWhich of the following is a correctly written goal for a patient who is scheduled to ambulate following hip surgery? O Patient will become mobile within a 24-hour period. O Over the next 24-hours period, the patient will walk the length of the hallway assited by the nurse. Offer to help the patient walk the length of the halway each day. O The nurse Will help the patient ambulate the length of the hallway once a day.arrow_forwardA child admitted to the neuro ward suddenly became unresponsive and started showing abnormal hand and leg movements with up rolling of eyeballs and tongue bite in front of the relative. Which of the following actions by the relative should be stopped by the nurse? Answer Choices: a. Turning the patient on one side b. Protecting the patient by keeping side rails up c. Inserting a rubber object between teeth to prevent tongue bite d. Loosening the clothes of the childarrow_forward
- The medication nurse is to administer medications to a hospitalized client. Which of the following actions would a nurse be expected to perform when instilling eyedrops correctly? (Select all that apply.) 1. Wash hands and put on gloves. 2. Have the patient look up and focus on something on the ceiling. 3. Place the thumb near the margin of the lower eyelid and exert pressure upward over the bony prominence of the cheek. 4. Tilt the patient's head back slightly if sitting or place the head on a pillow if lying down. 5. Clean the eyelids and eyelashes of any drainage with cotton balls soaked in clean water.arrow_forwardList and describe 5 different positions of a client during Physical Assessment Position Descriptionarrow_forwardWhen providing care for a child who is in balanced suspension skeletal traction using a Thomas splint and Pearson attachment to the right femur, which intervention is most important for the nurse to implement? A Cleanse pin sites as prescribed. OB Monitor peripheral pulses and sensation in the right leg. C Change position every 2 hours. D Assess skin for redness and signs of tissue breakdown.arrow_forward
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Recommended textbooks for you
- Understanding Health Insurance: A Guide to Billin...Health & NutritionISBN:9781337679480Author:GREENPublisher:Cengage
Understanding Health Insurance: A Guide to Billin...
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ISBN:9781337679480
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