Question 1

What is the priority nursing diagnosis for a patient with osteoporosis?

Accepted Answer

A)  Risk for injury (fracture)related to fragile bone tissue 
B)  Activity intolerance related to pain and joint stiffness 
C)  Impaired tissue integrity related to red,swollen,painful joints 
D)  Fatigue related to chronic inflammatory destruction of tissues 
A)  Risk for injury (fracture)related to fragile bone tissue 
B)  Activity intolerance related to pain and joint stiffness 
C)  Impaired tissue integrity related to red,swollen,painful joints 
D)  Fatigue related to chronic inflammatory destruction of tissues

Question 2

The nurse is caring for a patient with right-sided hemiplegia.Which intervention will help prevent damage to the patient's right shoulder?

Accepted Answer

A)  Place the patient's right arm in a sling whenever the patient is sitting upright. 
B)  Set up the patient's meal trays so that all food is within easy reach for the left arm. 
C)  Elevate the head of the patient's bed at least than 30 degrees in the lateral position. 
D)  Assess for increased joint resistance when repositioning the patient. 
A)  Place the patient's right arm in a sling whenever the patient is sitting upright. 
B)  Set up the patient's meal trays so that all food is within easy reach for the left arm. 
C)  Elevate the head of the patient's bed at least than 30 degrees in the lateral position. 
D)  Assess for increased joint resistance when repositioning the patient.

Question 3

The nurse is caring for a patient with arthritis who wants to exercise but finds it difficult due to joint pain and stiffness.Which nursing diagnosis is appropriate for this patient?

Accepted Answer

A)  Activity intolerance related to exertional discomfort 
B)  Noncompliance related to lack of motivation to exercise 
C)  Unilateral neglect related to health beliefs about chronic illness 
D)  Powerlessness related to expressions of uncertainty about benefits of exercise 
A)  Activity intolerance related to exertional discomfort 
B)  Noncompliance related to lack of motivation to exercise 
C)  Unilateral neglect related to health beliefs about chronic illness 
D)  Powerlessness related to expressions of uncertainty about benefits of exercise

Question 4

Which assessment findings lead the nurse to select the nursing diagnosis impaired bed mobility for the patient?

Accepted Answer

A)  The patient uses a seat belt and footrest when seated in the wheelchair. 
B)  The patient utilizes a rollator walker to ambulate to and from the bathroom. 
C)  The patient struggles to use the over-bed trapeze for repositioning in bed. 
D)  The nursing staff must log-roll the patient to get on and off the bedpan. 
E)  The patient transfers to the wheelchair with assistance of the nurse and a gait belt. 
A)  The patient uses a seat belt and footrest when seated in the wheelchair. 
B)  The patient utilizes a rollator walker to ambulate to and from the bathroom. 
C)  The patient struggles to use the over-bed trapeze for repositioning in bed. 
D)  The nursing staff must log-roll the patient to get on and off the bedpan. 
E)  The patient transfers to the wheelchair with assistance of the nurse and a gait belt.

Question 5

Which action demonstrates correct use of a cane by a patient following a left leg injury?

Accepted Answer

A)  The patient holds the cane securely in the left hand. 
B)  The patient uses the cane when stepping forward with the right leg. 
C)  The patient's left leg and cane move forward together when walking. 
D)  The patient leans slightly to the left when advancing the cane forward. 
A)  The patient holds the cane securely in the left hand. 
B)  The patient uses the cane when stepping forward with the right leg. 
C)  The patient's left leg and cane move forward together when walking. 
D)  The patient leans slightly to the left when advancing the cane forward.

Exam 28: Exercise and Activity

What is the priority nursing diagnosis for a patient with osteoporosis?

The nurse is caring for a patient with right-sided hemiplegia.Which intervention will help prevent damage to the patient's right shoulder?

The nurse is caring for a patient with arthritis who wants to exercise but finds it difficult due to joint pain and stiffness.Which nursing diagnosis is appropriate for this patient?

Which assessment findings lead the nurse to select the nursing diagnosis impaired bed mobility for the patient?

Which action demonstrates correct use of a cane by a patient following a left leg injury?

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