Deck 39: Activity and Exercise

Question 1

Mr.Frederick,80 years old,is confined to bed with multiple injuries following a motor vehicle accident.The nurse is instructing him on how to perform isometric exercises.How will these exercises affect Mr.Frederick?

A)Decrease heart rate
B)Prevent contractures
C)Maintain muscle strength
D)Improve cardiorespiratory function

Answer 1

Maintain muscle strength

Question 2

The nurse educator is working on a hospital committee focused on preventing back injuries in nurses.When completing rounds on one of the inpatient units,what observations would indicate to her that further education is necessary?

A)Two nurses are pulling a client up in bed.They are standing toward the head of the bed,feet apart and facing towards the centre of the bed.
B)Two nurses are pulling a client up in bed using a sliding sheet.Their palms are facing up grasping the sheet.
C)Two nurses are pulling a client up in bed.The bed is in Trendelenburg position.
D)Two nurses are repositioning a client from one side to the other.The nurse pulling the client towards her rocks from her front foot to her back foot.

Answer 2

Two nurses are pulling a client up in bed.They are standing toward the head of the bed,feet apart and facing towards the centre of the bed.

Question 3

What benefits of exercise for elderly clients may result in a decreased risk of falls?

A)Improved balance
B)Strengthened muscles
C)Increased range of motion
D)Improved cardiovascular function

Answer 3

Improved balance

Question 4

Supination refers to the movement of the sole of the foot inward by moving the ankle joint.

Question 5

The nurse educator is working on a hospital committee focused on preventing back injuries in nurses.Which recommendation by this committee is most likely to result in a decrease in back injuries if followed?

A)Nurses must use transfer belts when moving clients.
B)No independent lifting of clients is permitted in the facility.
C)In order to prevent injury,nurses must strive to become physically fit.
D)All nursing personnel must attend annual body mechanics education.

Question 6

Mrs.Cara is attending her first prenatal visit.What information would the nurse offer her regarding exercise?

A)She can exercise if exercise was a part of her pre-pregnancy routine.
B)Exercise should be limited to no more than 15 minutes per day.
C)Healthy pregnant women should exercise at least 30 minutes per day.
D)She should increase her normal exercise pattern from pre-pregnancy routine.

Question 7

Mr.Pearson,a newly admitted client,has contractures of both lower extremities.What nursing intervention should be included in this client's plan of care?

A)Flexor-strengthening exercises
B)Frequent position changes
C)Weight-bearing activities.
D)Range of motion exercises

Question 8

Which of the following elements necessary for normal body movement will impact optimal lung expansion?

A)Proper body alignment
B)Joint mobility
C)Base of support
D)Coordinated movement

Question 9

Circumduction is a term that refers to the movement of a bone around its central axis.

Question 10

Mr.Granger is a 65-year-old client hospitalized with multiple fractures suffered in a motor vehicle accident.He calls the nurse and complains of pain and burning in the right calf area.What action should be taken by the nurse?

A)Percuss over the area for change in tone
B)Deeply palpate the area for rebound tenderness
C)Measure the calf and compare to the opposite calf
D)Medicate the client for pain and reassess in 30 minutes

Question 11

Which of the following physiological alterations is frequently a result of immobility?

A)Bradycardia
B)Venous pooling
C)Diuresis
D)Increased vital capacity

Question 12

Mrs.Farron is a 65-year-old who has recently been diagnosed with depression.What explanation can the nurse provide her about how exercise can improve long-term symptoms of depression?

A)Increases levels of endorphins
B)Creates a diversion from reason for depression
C)Limits endogenous opioids
D)Decreases harmful effects of serotonin

Question 13

Mr.Frederick,80 years old,is confined to bed with multiple injuries following a motor vehicle accident.Which of the following observations would allow the nurse to conclude that his psychoneurological system is intact following his injuries?

A)Mr.Frederick's self-esteem has decreased over the last three weeks.
B)Mr.Frederick is withdrawn and does not initiate conversation.
C)Mr.Frederick is explaining to his wife how to solve a problem with the furnace.
D)Mr.Frederick becomes frustrated when he tries to perform activities of daily living.

Question 14

Seventy-five-year-old Mrs.Bertram has been admitted to hospital with right-sided paralysis as a result of a left-sided cerebrovascular accident.She has a diagnosis of impaired mobility related to paralysis.She is to have passive range of motion (ROM)exercises performed on the right side of her body.Which of the following accurately reflects how ROM should be performed?

A)Weekly as long as paralysis is evident
B)To the point of discomfort
C)To the point of slight resistance
D)To both arms and legs

Question 15

How should the nurse position Mr.Joseph,a 75-year-old client with chronic obstructive pulmonary disease (COPD)who is complaining of dyspnea?

A)Semi-Fowler's position with two pillows
B)Orthopneic position across the overbed table
C)Fowler's position with two pillows behind the head
D)High Fowler's position with two pillows behind the head

Question 16

The nurse is caring for 50-year-old Mrs.Lucas,who has been recently diagnosed with early osteoporosis.Which interventions should be planned for this client?

A)During exacerbations,protect her bones with strict bed rest
B)Develop an exercise plan that includes weight-bearing activities
C)Increase vitamin D in her diet to enhance absorption of calcium
D)Passive range of motion exercises twice daily

Question 17

Mr.Neil,a community health nurse,is speaking to families about the benefits of an active lifestyle.What activity levels does he recommend as appropriate for children ages 5-11?

A)30 minutes minimum of moderate to vigorous activity daily
B)60 minutes of moderate to vigorous activity daily
C)30 minutes of moderate activity daily,and 30 minutes of vigorous activity 3 times a week
D)60 minutes of moderate activity 3 times a week.

Question 18

Mr.Neil,a community health nurse,is organizing a wellness project to educate teenagers about keeping their bodies healthy.Which information about diet and exercise should be included?

A)Diet is the most important predictor of health.
B)Diet and activity together are important factors for maintaining health.
C)Exercise is sufficient to manage healthy weight.
D)Obese women who remain active have a low mortality rate.

Question 19

Seventy-five-year-old Mrs.Bertram has been admitted to hospital with right-sided paralysis as a result of a cerebrovascular accident.What is the rationale for maintaining her in good body alignment while she is in bed?

A)It increases body strength and muscle mass.
B)Proper body alignment will alleviate pain.
C)It reduces the musculoskeletal strain and enhances lung expansion.
D)It minimizes the workload of the heart by preventing the valsalva manoeuvre.

Question 20

Ms.Peters is a student nurse working with a home care nurse.They visit an elderly client who has contractures.Miss Peters asks the nurse,"What is the physiological reason for contractures?" How will the nurse respond?

A)Flexor muscles are stronger than extensor muscles
B)Muscle mass loss affects only extensor muscles
C)Hyperextension of the joints of the arms and legs
D)Repetitive flexor and ulnar adduction

Question 21

Mr.Erikson,32 years old,is learning to use crutches after fracturing his left ankle.The nurse is teaching him to transfer from a standing position to a chair.Mr.Erikson has positioned himself in front of the chair,with the back of his right leg against the chair.What direction should the nurse provide to Mr.Erikson as the next step to transfer safely?

A)Transfer the crutch on the right side to the left
B)Reach behind and grasp the arm on the right side of the chair
C)Lean forward,flex the knees and hips,and lower into the chair
D)Stand perpendicular to the chair,and pivot from the right

Question 22

The nurse is preparing to transfer 40-year-old Mr.Noel from the bed to a stretcher.The bed should be placed parallel to the stretcher and in which of the following positions?

A)Slightly lower
B)Slightly higher
C)At the same height
D)At least 2 inches lower

Question 23

Mr.Rourke's activity is limited to a wheelchair until he is taught how to use crutches.Which of the following actions by the nurse demonstrates wheelchair safety?

A)The chair is positioned ahead of her when going down a ramp.
B)Mr.Rourke is pushed face-forward ahead of the nurse into the elevator.
C)Mr.Rourke is positioned as far forward as possible on the wheelchair seat.
D)The footplates are raised before Mr.Rourke is transferred into the wheelchair.

Question 24

What is a priority safety action of the nurse prior to assisting a client's move from a bed to a wheelchair?

A)Lock the brakes on the bed and chair
B)Transfer with a friction-reducing device
C)Place the head of the bed flat
D)Place the wheelchair perpendicular to the bed.

Question 25

Mrs.Joyce is a 78-year-old woman who has had a cerebral vascular accident.She has left-sided weakness.Which of the following can be prevented by the use of supportive devices when positioning her on her right side?

A)Skin breakdown
B)Hyperextension of lumbar curvature
C)Internal rotation and adduction of shoulder
D)Plantar flexion

Question 26

The nurse is assisting Mrs.Nesbitt,40 years old,to dangle at the side of the bed.After raising the head of the bed,how should the nurse position herself?

A)Facing directly toward the client
B)Facing toward the side of the bed
C)Facing toward the far corner of the foot of the bed
D)Facing toward the nearest corner of the head of the bed

Question 27

Mr.Neil is a community health nurse conducting a wellness seminar.He is asked by a participant what kind of exercises walking,swimming,and cycling are.What is the correct answer?

A)Anaerobic
B)Isokinetic
C)Isometric
D)Isotonic

Question 28

Twelve hours post delivery of her first child,the nurse is assisting Mrs.Joseph to ambulate to the bathroom.Mrs.Joseph complains of light-headedness and begins to faint.What is the nurse's most important action?

A)Call for immediate assistance
B)Ensure the client's modesty
C)Prevent the client from hitting her head
D)Check vital signs