Deck 32: Activity

Question 1

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?

A) The client's ability to assist
B) The client's body weight
C) The client's cognitive status
D) The client's age

Answer 1

The client's ability to assist

Question 2

A nurse is teaching an older woman how to move and lift her disabled husband. The woman has osteoarthritis of the hips and knees. What is the goal of the nurse's education plan?

A) Minimize stress on the wife's joints
B) Povide exercise for the husband
C) Increase socialization with neighbors
D) Maintain self-esteem of the wife

Answer 2

Minimize stress on the wife's joints

Question 3

While performing a physical examination on a client, the nurse observes that the client has scoliosis based on which of the following?

A) Lateral deviation of the thoracic spine
B) Concave curvature of the cervical spine
C) Convex curvature of the thoracic spine
D) Concave curvature of the lumbar spine

Answer 3

Lateral deviation of the thoracic spine

Question 4

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?

A) Have the client sit on the side of the bed for several minutes before moving to the chair.
B) Infuse an intravenous fluid bolus 15 minutes before transferring the client into the chair.
C) Position a friction-reducing sheet under the client.
D) Obtain a quad cane for the client to use as a transfer aid.

Question 5

A client 86 years of age with a diagnosis of late-stage Alzheimer's disease requires full assistance with transfers to and from his bed. Which of the following nursing actions is most likely to promote safe handling of this client?

A) Provide to the client brief, clear instructions that are phrased positively.
B) Post written instructions at the client's bedside to supplement spoken instructions.
C) Ask for the client's input on the timing and technique for transfers.
D) Ask for the client's feedback frequently during transfers.

Question 6

A nurse is caring for a frail older adult client with chronic obstructive pulmonary disease. The client always remains in a sitting position to help him breathe more easily. Based on the understanding that prolonged sitting may put pressure on bony prominences, the nurse frequently assesses which area of this client?

A) Back of the skull
B) Elbows
C) Sacrum
D) Heels

Question 7

Why is it important for the nurse to teach and role model proper body mechanics?

A) To ensure knowledgeable client care
B) To promote health and prevent illness
C) To prevent unnecessary insurance claims
D) To demonstrate knowledge and skills

Question 8

What function of the skeletal system is essential to proper function of all other cells and tissues?

A) Supporting soft tissues of the body
B) Protecting delicate body structures
C) Providing storage area for fats
D) Producing blood cells

Question 9

Which of the following activities is normally acquired in the toddler years? Select all that apply.

A) Rolling over
B) Pulling to a standing position
C) Walking
D) Running
E) Jumping

Question 10

A nurse is assessing the activity level of an infant age 5 months. What normal findings would be assessed?

A) Ability to sit and head control
B) Ability to pick up small objects
C) Progress toward running and jumping
D) Progress toward unassisted walking

Question 11

An obstetrical nurse is preparing to help a client up from her bed and to the bathroom three hours after the woman delivered her baby. Which of the following actions should the nurse perform first?

A) Explain to the client how the nurse will assist her.
B) Position a walker in front of the client to provide stability.
C) Enlist the assistance of another nurse or the physiotherapist.
D) Have the client stand for 30 seconds prior to walking.

Question 12

Which postural deformity might be assessed in a teenager?

A) Kyphosis
B) Rickets
C) Osteoporosis
D) Scoliosis

Question 13

A nurse is placing a client in Fowler's position. What should she teach the family about this position?

A) "Use at least two big pillows to support the head."
B) "Cross the arms over the client's abdomen."
C) "Do not raise the knees with the knee gatch."
D) "Keep the hands lower than the rest of the body."

Question 14

The nurse is helping a client walk in the hallway when the client suddenly reaches for the handrail and states, "I feel so weak. I think I am going to pass out." Which of the following initial actions by the nurse is appropriate?

A) Firmly grasp the client's gait belt.
B) Support the client's body against yours and gently slide the client onto the floor.
C) Ask the client to lean against the wall while you obtain a wheelchair.
D) Apply oxygen and wait several minutes for the weakness to pass.
E) Ask the patient, "When was the last time you ate?"

Question 15

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?

A) Fowler's
B) Low-Fowler's
C) Protective supine
D) Semi-Fowler's

Question 16

While receiving a report, the nurse learns that a client has paraplegia. The nurse will plan care for this client based upon the understanding that the client has which of the following?

A) Paralysis of the legs
B) Weakness affecting one-half of the body
C) Paralysis affecting one-half of the body
D) Paralysis of the legs and arms

Question 17

The nurse cares for a newly admitted client who will soon need to be taken to the radiology department for a CT scan. The client has a Body Mass Index (BMI) of 52. Which of the following strategies to transport the client is most appropriate?

A) Obtain a mechanical lateral transfer device to move the client onto a stretcher.
B) Enlist the aid of two other staff members and pull the client across the bed and onto a stretcher.
C) Position a friction-reducing sheet under the client before attempting the transfer.
D) Transport the client to the radiology department in the hospital bed.

Question 18

A staff development nurse is discussing techniques to prevent back injury with a group of nursing assistants. The nurse informs the group that back stress and injury can be prevented by doing which of the following?

A) Spreading feet shoulder-width apart to broaden the base of support
B) Using the strength of the back muscles during strenuous activities
C) Holding the object that you are lifting or moving away from the body
D) Pulling equipment, rather than pushing it, when possible

Question 19

A young adult woman has had orthopedic surgery on her right knee. The first time she gets out of bed, she describes weakness, dizziness, and feeling faint. The nurse correctly recognizes that which of the following conditions is likely affecting the client?

A) Thrombophlebitis
B) Anemia
C) Orthostatic hypotension
D) Bradycardia

Question 20

The physician's admitting orders indicate that the client is to be placed in a Fowler's position. Upon positioning this client, how much will the nurse elevate the head of the bed?

A) 45 to 60 degrees
B) 15 to 20 degrees
C) 30 degrees
D) 90 degrees

Question 21

Once applied, antiembolism stockings should not be removed until the primary care provider writes an order to discontinue them.

Question 22

The nurse is preparing to move a patient up in bed with the assistance of another nurse. In what position would the nurse place the patient, if tolerated?

A) Reverse Trendelenburg
B) Supine
C) Sitting
D) Semi-Fowler's

Question 23

The nurse is preparing a client to be turned in bed. In what position would the nurse place the client to begin this procedure?

A) Sitting up
B) Lying prone
C) Lying flat
D) Lying flat with feet raised slightly

Question 24

While being measured for anti-embolism stockings, the client asks the nurse why they are necessary. What would be the nurses's best response?

A) They promote venous blood return to the heart.
B) They eliminate peripheral edema.
C) They provide a nonslip foot surface to help prevent falls.
D) They reduce the risk for impaired skin integrity.

Question 25

A nurse is assisting in the transfer of a client to a stretcher. The client has casts on both legs. What is the nurse's best choice of transfer equipment for this client who cannot bear weight on either leg?

A) Powered-stand assist
B) Transfer chair
C) Repositioning lift
D) Gait belt

Question 26

A nurse is repositioning a client who has physical limitations due to recent back surgery. How often would the nurse turn the client in bed?

A) Every hour
B) Every two hours
C) Every four hours
D) Every shift

Question 27

Student nurses are turning a client in bed. In order to move the client to the edge of the bed, which positioning instruction is best to give the client when using the friction-reducing sheet?

A) Cross the arms across the chest and keep the legs straight.
B) Cross the arms across the chest and cross the legs.
C) Keep the arms at the sides and the legs crossed.
D) Keep the arms folded loosely at the abdomen and the legs straight.

Question 28

Which of the following clients would be an appropriate candidate to move by using a powered stand-assist device?

A) A comatose client who is being taken for x-rays
B) An alert client after knee replacement surgery who is being assisted to ambulate
C) An obese client who has Alzheimer's disease and is being escorted to the shower room
D) A car accident victim with fractures in both legs who is being moved to another room

Question 29

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?

A) Face the direction of movement.
B) Twist body at the waist when lifting.
C) Keep body weight higher than center of gravity.
D) Keep feet together to provide a base of support.

Question 30

The nurse is preparing to move a client from bed into a wheelchair to eat lunch. What client data would the nurse check to see if the assistance of another nurse is needed?

A) Client restrictions
B) Client age
C) Client food preferences
D) Client restraints

Question 31

When moving a client up in bed, the nurse asks the client to fold the arms across the chest and lift the head with the chin on the chest. What is the rationale for placing the client in this position?

A) To prevent hyperextension of the neck
B) To prevent pressure on the arms
C) To lower the client's center of gravity
D) To decrease the effort needed to move the client

Question 32

A nurse is ambulating a client who catches her foot on the bed frame and begins to fall. Which of the following is an accurate step to prevent or minimize damage from this fall?

A) The nurse should place his or her feet close together with one foot in front of the other.
B) The nurse should rock his or her pelvis out on the opposite side of the client.
C) The nurse should grasp the gait belt and pull the client's body backward away from his or her body.
D) The nurse should gently slide the client down his or her body to the floor.

Question 33

When assisting a client from the bed into a wheelchair, the nurse assesses the client standing up and notices the client is weak and unsteady. What would be the recommended nursing intervention in this situation?

A) Allow the client to keep standing for several minutes until balance returns.
B) Use the call bell to summon the assistance of another nurse.
C) Return the client to the bed.
D) Place the client into the wheelchair.

Question 34

When transferring a client from bed to a stretcher, the nurses working together turn the client to position a transfer board partially underneath the patient. What is the rationale for using a transfer board in this procedure?

A) To lift the client off the bed.
B) To slide the board with the client onto the stretcher.
C) To reduce friction as the client is pulled laterally onto the stretcher.
D) To protect the client's head from hitting the headboard.