Question 1

When teaching the use of a three-point crutch gait, the nurse should instruct the patient to move:

Accepted Answer

A) both crutches and the affected leg first, then the stronger leg. 
B) the right crutch, left foot, left crutch, and right foot in sequence. 
C) the left crutch and right foot, then move the right crutch and left foot. 
D) both crutches, then lift and swing the legs forward as far as the crutches. 
A) both crutches and the affected leg first, then the stronger leg. 
B) the right crutch, left foot, left crutch, and right foot in sequence. 
C) the left crutch and right foot, then move the right crutch and left foot. 
D) both crutches, then lift and swing the legs forward as far as the crutches. A

Question 2

Virchow's triad (hypercoagulability of blood, venous wall damage, and stasis of blood flow) has been found to contribute to ________________.

Accepted Answer

deep vein thrombosis (DVT)
Three elements (commonly referred to as Virchow's triad) contribute to the development of DVT: hypercoagulability of the blood, venous wall damage, and stasis of blood flow.

Question 3

The patient is performing ROM exercises independently.These are known as __________ exercises.

Accepted Answer

active ROM
ROM exercises may be active, passive, or active-assisted.They are active if the patient is able to perform the exercises independently and passive if the exercises are performed for the patient by the caregiver.The exercises are active-assisted if the patient is able to perform some of the actions independently with support and assistance from the caregiver.

Question 4

The patient has been admitted for hypertension.His blood pressure is normally in the 160/90 range.He has been on bed rest for the past few days, and the doctor has started him on a new blood pressure medication.The nurse is assisting the patient to move from the bed to the chair for breakfast, but when the patient tries to sit up on the side of the bed, he complains of being dizzy and nauseous.The nurse lays the patient down and takes his vital signs.His pulse is 124.His blood pressure is 130/80.This blood pressure is indicative of what?

Accepted Answer

A) A normal blood pressure for this patient 
B) Orthostatic hypotension 
C) Orthostatic hypertension 
D) Effective baroreceptor function 
A) A normal blood pressure for this patient 
B) Orthostatic hypotension 
C) Orthostatic hypertension 
D) Effective baroreceptor function

Question 5

The patient had a stroke and is currently immobile.The nurse realizes that increasing mobility is critical because immobility can result in alterations in which of the following? (Select all that apply.)

Accepted Answer

A) Cardiovascular function 
B) Pulmonary function 
C) Skin integrity 
D) Elimination 
E) None of above 
A) Cardiovascular function 
B) Pulmonary function 
C) Skin integrity 
D) Elimination 
E) None of above

Question 6

An appropriate way for the nurse to measure a patient for crutches is to:

Accepted Answer

A) have a flexion of 45 degrees at both of the patient's elbows. 
B) have a space of two to three fingers between the top of the crutch and the axilla. 
C) place the crutch tips 1 foot to each side of the patient's feet, and observe the positioning of the crutches. 
D) place the crutch tips 1 foot to the front of the patient's feet, and observe the positioning of the crutches. 
A) have a flexion of 45 degrees at both of the patient's elbows. 
B) have a space of two to three fingers between the top of the crutch and the axilla. 
C) place the crutch tips 1 foot to each side of the patient's feet, and observe the positioning of the crutches. 
D) place the crutch tips 1 foot to the front of the patient's feet, and observe the positioning of the crutches.

Question 7

The patient is an elderly gentleman who has been on bed rest for the past several days.When getting the patient up, the nurse should:

Accepted Answer

A) tell the patient not to move his legs when dangling. 
B) tell the patient to hold his breath while dangling. 
C) raise the head of the bed and allow a few minutes before dangling. 
D) have the patient stand without dangling. 
A) tell the patient not to move his legs when dangling. 
B) tell the patient to hold his breath while dangling. 
C) raise the head of the bed and allow a few minutes before dangling. 
D) have the patient stand without dangling.

Question 8

The nurse is applying a CPM machine to the patient's leg.To do so, she must: (Select all that apply.)

Accepted Answer

A) provide analgesia 1 hour before starting the CPM. 
B) stop the CPM when in extension and place a sheepskin on the machine. 
C) align the patient's joint with the CPM's mechanical joint. 
D) secure the patient's extremity tightly with Velcro straps. 
A) provide analgesia 1 hour before starting the CPM. 
B) stop the CPM when in extension and place a sheepskin on the machine. 
C) align the patient's joint with the CPM's mechanical joint. 
D) secure the patient's extremity tightly with Velcro straps.

Question 9

A nurse should be concerned when observing a patient performing isometric exercises if the patient is:

Accepted Answer

A) holding his or her breath while exerting. 
B) performing the exercises four times per day. 
C) tightening each muscle group for 8 seconds, then relaxing. 
D) repeating each exercise 8 to 10 times for each muscle group. 
A) holding his or her breath while exerting. 
B) performing the exercises four times per day. 
C) tightening each muscle group for 8 seconds, then relaxing. 
D) repeating each exercise 8 to 10 times for each muscle group.

Question 10

When assessing the patient for risk for DVT, the nurse should consider which of the following an indicator of increased risk?

Accepted Answer

A) A positive Homans' sign 
B) Pallor to the distal area 
C) Edema noted in the extremity 
D) Fever or dehydration 
A) A positive Homans' sign 
B) Pallor to the distal area 
C) Edema noted in the extremity 
D) Fever or dehydration

Question 11

____________ refers to an ability to move about freely.

Accepted Answer

Mobility
Mobility re

Question 12

The patient has been using crutches for the past 2 weeks.When she comes for her follow-up examination, she complains of tingling and numbness in her hands and upper torso.Possible causes of these symptoms are:

Accepted Answer

A) the patient's elbows are flexed 15 to 30 degrees when using the crutches. 
B) crutch pad is approximately 2 inches below the patient's axilla. 
C) patient holds the cane 4 to 6 inches to the side of her foot. 
D) handgrip does not allow for elbow flexion. 
A) the patient's elbows are flexed 15 to 30 degrees when using the crutches. 
B) crutch pad is approximately 2 inches below the patient's axilla. 
C) patient holds the cane 4 to 6 inches to the side of her foot. 
D) handgrip does not allow for elbow flexion.

Question 13

The patient has a leg injury and is being fitted for a cane.The patient should be taught to:

Accepted Answer

A) hold the cane on the uninvolved side. 
B) hold the cane on the weaker side. 
C) extend the cane 15 inches from the foot when used. 
D) maintain approximately 60 degrees of elbow flexion. 
A) hold the cane on the uninvolved side. 
B) hold the cane on the weaker side. 
C) extend the cane 15 inches from the foot when used. 
D) maintain approximately 60 degrees of elbow flexion.

Question 14

A drop in blood pressure that occurs when the patient changes position from a horizontal to a vertical position is known as _________________.

Accepted Answer

orthostatic hypotension
Orthos

Question 15

A patient with left hemiparesis is using a quad cane for ambulation.Which of the following is the correct technique for the nurse to use in teaching the patient?

Accepted Answer

A) Use the cane on the right side, with the cane moving forward first. 
B) Use the cane on the left side, with the left leg moving forward with the cane. 
C) Use the cane in either hand, with the right leg moving forward first. 
D) Use the cane in either hand, with the left leg moving beyond the forward placement of the cane. 
A) Use the cane on the right side, with the cane moving forward first. 
B) Use the cane on the left side, with the left leg moving forward with the cane. 
C) Use the cane in either hand, with the right leg moving forward first. 
D) Use the cane in either hand, with the left leg moving beyond the forward placement of the cane.

Question 16

Antiembolic stockings (TEDs) are ordered for the patient on bed rest after surgery.The nurse explains to the patient that the primary purpose for the elastic stockings is to:

Accepted Answer

A) keep the skin warm and dry. 
B) prevent abnormal joint flexion. 
C) apply external pressure. 
D) prevent bleeding. 
A) keep the skin warm and dry. 
B) prevent abnormal joint flexion. 
C) apply external pressure. 
D) prevent bleeding.

Question 17

The nurse is caring for an immobile patient.Which of the following may help reduce the hazards associated with immobility? (Select all that apply.)

Accepted Answer

A) A high-fiber diet 
B) Frequent repositioning 
C) Muscle and joint exercises 
D) Increased fluid intake 
E) None of above 
A) A high-fiber diet 
B) Frequent repositioning 
C) Muscle and joint exercises 
D) Increased fluid intake 
E) None of above

Question 18

Static exercises that involve tightening or tensing of muscles without moving a body part are known as ______________.

Accepted Answer

isometric exercises
Isometric

Question 19

A nurse encourages a patient to prevent venous stasis by:

Accepted Answer

A) crossing the legs when sitting in a chair. 
B) wearing thigh-length nylon stockings or garters. 
C) elevating the legs on pillows while in bed. 
D) increasing early ambulation. 
A) crossing the legs when sitting in a chair. 
B) wearing thigh-length nylon stockings or garters. 
C) elevating the legs on pillows while in bed. 
D) increasing early ambulation.

Question 20

An appropriate technique for the nurse to use when performing range of motion (ROM) exercises is to:

Accepted Answer

A) repeat each action five times during the exercise. 
B) perform the exercises quickly and firmly. 
C) support the proximal portion of the extremity being exercised. 
D) continue the exercise slightly beyond the point of resistance. 
A) repeat each action five times during the exercise. 
B) perform the exercises quickly and firmly. 
C) support the proximal portion of the extremity being exercised. 
D) continue the exercise slightly beyond the point of resistance.

Exam 10: Exercise and Ambulation

When teaching the use of a three-point crutch gait, the nurse should instruct the patient to move:

Virchow's triad (hypercoagulability of blood, venous wall damage, and stasis of blood flow) has been found to contribute to ________________.

The patient is performing ROM exercises independently.These are known as __________ exercises.

The patient had a stroke and is currently immobile.The nurse realizes that increasing mobility is critical because immobility can result in alterations in which of the following? (Select all that apply.)

An appropriate way for the nurse to measure a patient for crutches is to:

The patient is an elderly gentleman who has been on bed rest for the past several days.When getting the patient up, the nurse should:

The nurse is applying a CPM machine to the patient's leg.To do so, she must: (Select all that apply.)

A nurse should be concerned when observing a patient performing isometric exercises if the patient is:

When assessing the patient for risk for DVT, the nurse should consider which of the following an indicator of increased risk?

____________ refers to an ability to move about freely.

The patient has been using crutches for the past 2 weeks.When she comes for her follow-up examination, she complains of tingling and numbness in her hands and upper torso.Possible causes of these symptoms are:

The patient has a leg injury and is being fitted for a cane.The patient should be taught to:

A drop in blood pressure that occurs when the patient changes position from a horizontal to a vertical position is known as _________________.

A patient with left hemiparesis is using a quad cane for ambulation.Which of the following is the correct technique for the nurse to use in teaching the patient?

Antiembolic stockings (TEDs) are ordered for the patient on bed rest after surgery.The nurse explains to the patient that the primary purpose for the elastic stockings is to:

The nurse is caring for an immobile patient.Which of the following may help reduce the hazards associated with immobility? (Select all that apply.)

Static exercises that involve tightening or tensing of muscles without moving a body part are known as ______________.

A nurse encourages a patient to prevent venous stasis by:

An appropriate technique for the nurse to use when performing range of motion (ROM) exercises is to:

Using Evidence in Nursing Practice

Admitting, Transfer, and Discharge

Communication

Documentation and Informatics

Vital Signs

Health Assessment

Medical Asepsis

Sterile Technique

Safe Patient Handling, Transfer, and Positioning

Orthopedic Measures

Support Surfaces and Special Beds

Safety and Quality Improvement

Disaster Preparedness

Pain Assessment and Basic Comfort Measures

Palliative Care

Personal Hygiene and Bed Making

Pressure Ulcer Care

Care of the Eye and Ear

Safe Medication Preparation

Oral and Topical Medications

Parenteral Medications

Oxygen Therapy

Performing Chest Physiotherapy

Airway Management

Closed Chest Drainage Systems

Emergency Measures for Life Support

Intravenous and Vascular Access Therapy

Blood Transfusions

Oral Nutrition

Enteral Nutrition

Parenteral Nutrition

Urinary Elimination

Bowel Elimination and Gastric Intubation

Ostomy Care

Preoperative and Postoperative Care

Intraoperative Care

Wound Care and Irrigations

Dressings, Bandages, and Binders

Therapeutic Use of Heat and Cold

Home Care Safety

Home Care Teaching

Specimen Collection

Diagnostic Procedures

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